KIMBERLY ANN BOOTH NP
NPI 1063954964
Nurse Practitioner - Acute Care in San Antonio, TX

Q: What is Kimberly Booth's NPI number?

The NPI number for Kimberly Booth is 1063954964. It was assigned to this individual provider in the NPPES registry on November 8, 2016.

Q: What is Kimberly Booth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Booth was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since November 08, 2016PECOS Enrolled

4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229(210) 690-7400 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2021, Nov 8, 2016 (2 updates tracked since 2016).

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About Kimberly Ann Booth Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ANN BOOTH NP (NPI 1063954964) is an individual acute care provider in San Antonio, Texas, licensed in Texas (AP132542) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063954964

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKIMBERLY ANN BOOTHCredential: NP

Location Address4458 MEDICAL DR STE 505San Antonio, TX 78229-3748

Mailing Address4458 Medical Dr Ste 505San Antonio, TX 78229-3748 · (210) 690-7400

Phone(210) 690-7400

Sole ProprietorNo

Enumeration DateNovember 8, 2016

Last NPPES UpdateMay 21, 20212 updates tracked since enumeration

NPPES CertifiedMay 21, 2021

✔ NPI 1063954964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP132542

4458 MEDICAL DR STE 505, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community First, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Ann Booth Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Booth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Ips LLC

Same address

Pulmonary Disease

4458 MEDICAL DR STE 505
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
110 clinicians in this Medicare group

NPI 1629368535 (210) 690-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers76 claims76 services$16.01 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers53 claims53 services$915.93 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers16 claims18 services$3.66 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers97 claims97 services$72.25 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers21 claims21 services$29.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRAVEIN AMALAKUHAN M.D.

Internal Medicine (Pulmonary Disease)