BOOTH HOUSE PRIMARY CARE, PLLC
NPI 1053202242
Clinic/Center - Primary Care in New Milford, CT
About Booth House Primary Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOOTH HOUSE PRIMARY CARE, PLLC (NPI 1053202242) is a healthcare organization registered as a primary care in New Milford, Connecticut and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Loretta J Pace, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Booth House Primary Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Booth House Primary Care, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 07D2329110
Booth House Primary Care, PLLC · New Milford, CTFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Booth House Primary Care, PLLC's NPI number?
The NPI number for Booth House Primary Care, PLLC is 1053202242. It was assigned to this organization in the NPPES registry on July 14, 2025.
Where is Booth House Primary Care, PLLC located?
Booth House Primary Care, PLLC is located at 1 Booth House Ln # 1B, New Milford, CT 06776. The listed phone number is (860) 799-0146.
What is Booth House Primary Care, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Booth House Primary Care, PLLC enrolled in Medicare?
Yes. Booth House Primary Care, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Booth House Primary Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Booth House Primary Care, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Booth House Primary Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D2329110) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Booth House Primary Care, PLLC was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Booth House Primary Care, Pllc · NPI 1053202242
Primary Care organization in New Milford, Connecticut. Organization record, active in the CMS NPPES registry since July 14, 2025.
## Identity
- **NPI:** 1053202242 (Entity type: Organization)
- **Enumerated:** July 14, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Loretta Pace, MANAGING MEMBER
## Practice location
- **Address:** 1 BOOTH HOUSE LN # 1B, New Milford, CT 06776-3097
- **Phone:** (860) 799-0146
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053202242) · Data from the CMS NPPES public registry.