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MARTHA NANETTE BOOCHIE PMHNP
NPI 1083463996
Nurse Practitioner - Psychiatric/Mental Health in Rancho Cucamonga, CA

Active since May 14, 2024PECOS Enrolled
9089 BASE LINE RD STE 200, RANCHO CUCAMONGA, CA 91730(909) 980-3567(909) 989-3932 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martha Nanette Boochie Pmhnp NPPES

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

MARTHA NANETTE BOOCHIE PMHNP (NPI 1083463996) is an individual psychiatric/mental health provider in Rancho Cucamonga, California, licensed in California (95029865) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chino, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083463996
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARTHA NANETTE BOOCHIECredential: PMHNP
Location Address9089 BASE LINE RD STE 200Rancho Cucamonga, CA 91730-1295
Mailing Address11228 Nashville AveWhittier, CA 90604-2150 · (562) 900-4939
Phone(909) 980-3567
Fax(909) 989-3932
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 14, 2024
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1083463996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95029865
9089 BASE LINE RD STE 200, Rancho Cucamonga, CA 91730
Open in Google Maps ↗

Secondary Practice Location 1

Location 113193 Central Ave Ste 200Chino, CA 91710-4179 · Phone (909) 902-9111 · Fax (909) 902-9199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martha Nanette Boochie Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698213031
PECOS Enrollment IDI20240815002772
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 2

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

HEALTH SERVICE ALLIANCE
Psychologist
9089 BASE LINE RD STE 200
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-3567
COURTNEY HALL ACSW
Social Worker
9089 BASE LINE RD STE 200
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 281-5800

Frequently 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 Martha Boochie's NPI number?

The NPI number for Martha Boochie is 1083463996. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Martha Boochie located?

Martha Boochie practices at 9089 Base Line Rd Ste 200, Rancho Cucamonga, CA 91730. The listed phone number is (909) 980-3567.

What is Martha Boochie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Martha Boochie enrolled in Medicare?

Yes. Martha Boochie is registered in the Medicare PECOS enrollment system.

What insurance does Martha Boochie accept?

Health plans from Providence Health Plan list Martha Boochie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martha Boochie was last updated on October 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.