DANA MARIE BOOTH (APRN) – Women's Health Nurse Practitioner, NPI 1396909289
Women's Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for DANA MARIE BOOTH (APRN)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 782365638
Phone: (210) 292-2246
Type: Mailing
1, Tamiami Trail, North Port, Charlotte County, Florida, 33953, United States
PORT CHARLOTTE, FL 339526619
Phone: (941) 766-0400
Type: Location
FT, R 42, Zieglöde, Frauenzell, Wiesent, Wörth an der Donau (VGem), Landkreis Regensburg, Bavaria, 93109, Germany
FORT WORTH, TX 761990335
Phone: (817) 735-2198
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $10.
Total Amount is formed as General ($10) + Research ($0) + Ownership ($0) = $10.
Last reported payment date: 2023-03-22 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($10).
Total Amount
$10
General + Research + Ownership
Payments
1
Total payment records
General Amount
$10
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $10 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-09-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120907000217 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78236)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Vascular Surgery, General Surgery | FL | |
| - | ME |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.