MRS. PEACHES LANDRY BOOTH (APRN) – Acute Care Nurse Practitioner, NPI 1942963988

MRS. PEACHES LANDRY BOOTH (APRN) is a healthcare provider. based in Wylie, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 222104 (OK). The NPI Number for MRS. PEACHES LANDRY BOOTH (APRN) is 1942963988

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. PEACHES LANDRY BOOTH (APRN)
NPI
1942963988
Phone
(214) 980-8338
Address
3015 LESLIE DR
Enumeration Date
18 October 2021
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
214960568175
Graduation Year
2021 (5 years ago)
PAC ID
5698166858
Group Practice PAC ID
2163679200
Professional Enrollment ID
I20250715004153
Address ID
OK731124418OK3300XEXPW301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. PEACHES LANDRY BOOTH (APRN)

  • 3015 LESLIE DR

    WYLIE, TX 750988915

    Phone: (214) 980-8338

    Type: Mailing

  • 221 W COLORADO BLVD STE 525

    DALLAS, TX 752082312

    Phone: (214) 960-5681

    Type: Location

  • 3015 Leslie Dr

    Wylie, TX 750988915

    Phone: (214) 980-8338

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Chiesi USA, Inc. ($65).

Total Amount

$65

General + Research + Ownership

Payments

1

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Chiesi USA, Inc.$65
View all Open Payments →|Open Payments Risk Radar →

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: 2025-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211222001625INurse PractitionerTXTBD
I20250715004153INurse PractitionerOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes7161$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 75098)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163679200View full group profile
NameSpecialtyState
Nurse PractitionerTX
Neurology, Critical Care (Intensivists)TX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerOR
Nurse PractitionerAL
Nurse PractitionerTX
Critical Care (Intensivists), Pulmonary DiseaseTX

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. PEACHES LANDRY BOOTH (APRN)'s NPI?
Yes. MRS. PEACHES LANDRY BOOTH (APRN) is listed with NPI 1942963988 in the public NPI dataset.
Can I rely on MRS. PEACHES LANDRY BOOTH (APRN) being an active provider?
As of the registry snapshot, MRS. PEACHES LANDRY BOOTH (APRN) is marked active.
What is MRS. PEACHES LANDRY BOOTH (APRN)'s primary classification?
Acute Care Nurse Practitioner is the headline specialty for MRS. PEACHES LANDRY BOOTH (APRN) here. Clinical services aligned with this taxonomy classification.
Does MRS. PEACHES LANDRY BOOTH (APRN) list a practice location?
Patients near Wylie, Texas may find MRS. PEACHES LANDRY BOOTH (APRN) in results; validate coverage separately.
Is the information about MRS. PEACHES LANDRY BOOTH (APRN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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