ANGELA BOOSE APRN-PMHNP
NPI 1194329458
Nurse Practitioner - Psychiatric/Mental Health in Dyer, IN

Active since November 27, 2020PECOS EnrolledAccepts Medicare Assignment
24 JOLIET ST, DYER, IN 46311(219) 322-5747(219) 864-2282 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 9, 2024, Jul 31, 2024, Nov 27, 2020 (3 updates tracked since 2020).

About Angela Boose Aprn-pmhnp NPPES

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

ANGELA BOOSE APRN-PMHNP (NPI 1194329458) is an individual psychiatric/mental health provider in Dyer, Indiana, licensed in Indiana (71016038A) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Highland, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194329458
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANGELA BOOSECredential: APRN-PMHNP
Location Address24 JOLIET STDyer, IN 46311-1705
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(219) 864-2282
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 27, 2020
Last NPPES UpdateJanuary 13, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
NPI 1194329458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IN · 71016038A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28231278A (IN)
24 JOLIET ST, Dyer, IN 46311

Secondary Practice Location 1

Location 12600 Highway AveHighland, IN 46322-1613 · Phone (219) 972-0131

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angela Boose Aprn-pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931635836
PECOS Enrollment IDI20241214000194
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 46311 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Surgery
24 JOLIET ST, STE101
DYER, IN 46311
Emergency Medicine
24 JOLIET ST
DYER, IN 46311
Social Worker (Clinical)
24 JOLIET ST
DYER, IN 46311
Nurse Practitioner
24 JOLIET ST, SUITE 401
DYER, IN 46311
Surgery
24 JOLIET ST, UNIT 302
DYER, IN 46311
Psychiatry & Neurology (Psychiatry)
24 JOLIET ST
DYER, IN 46311
Internal Medicine
24 JOLIET ST
DYER, IN 46311
Surgery
24 JOLIET ST, STE 101
DYER, IN 46311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194329458, enumerated as an "individual" on November 27, 2020.

The provider is located at 24 JOLIET ST DYER, IN 46311 and the phone number is (219) 322-5747.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.