TIERNEY BOTLEY NP
NPI 1144014150
Nurse Practitioner - Family in Beaumont, TX

Q: What is Tierney Botley's NPI number?

The NPI number for Tierney Botley is 1144014150. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Q: What is Tierney Botley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tierney Botley was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 07, 2025PECOS Enrolled

2830 CALDER ST, BEAUMONT, TX 77702(409) 892-7171 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tierney Botley Np NPPES

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

TIERNEY BOTLEY NP (NPI 1144014150) is an individual family provider in Beaumont, Texas, licensed in Texas (1142531) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144014150

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTIERNEY BOTLEYCredential: NP

Location Address2830 CALDER STBeaumont, TX 77702-1809

Mailing Address2830 Calder StBeaumont, TX 77702-1809 · (409) 892-7171

Phone(409) 892-7171

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 7, 2025

NPPES CertifiedApril 5, 2025

✔ NPI 1144014150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1142531

2830 CALDER ST, Beaumont, TX 77702

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tierney Botley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062927486

PECOS Enrollment IDI20250715002011

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 77702 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

$83.80 typical visit price

range $54.04 – $164.93

Typical copayment $20.95 (range $13.51 – $41.23)

Most-billed visit code 99203

Established Patient

$95.83 typical visit price

range $17.17 – $134.47

Typical copayment $23.95 (range $4.29 – $33.61)

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 20

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

CHARLOTTE STEVENS SMITH NP

Nurse Practitioner (Neonatal)