BRANTLEY BOOTH PMHNP
NPI 1205527819
Nurse Practitioner - Psychiatric/Mental Health in Lake Charles, LA

Q: What is Brantley Booth's NPI number?

The NPI number for Brantley Booth is 1205527819. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Q: What is Brantley Booth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brantley Booth was last updated on September 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 16, 2023PECOS EnrolledAccepts Medicare Assignment

2829 4TH AVE STE 150, LAKE CHARLES, LA 70601(337) 480-7800(337) 474-4552 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2023, May 16, 2023 (2 updates tracked since 2023).

On this page

About Brantley Booth Pmhnp NPPES

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

BRANTLEY BOOTH PMHNP (NPI 1205527819) is an individual psychiatric/mental health provider in Lake Charles, Louisiana, licensed in Louisiana (230060) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Lake Charles Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205527819

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameBRANTLEY BOOTHCredential: PMHNP

Location Address2829 4TH AVE STE 150Lake Charles, LA 70601-7897

Mailing Address2829 4th Ave Ste 150Lake Charles, LA 70601-7897 · (337) 477-7091

Phone(337) 480-7800

Fax(337) 474-4552

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMay 16, 2023

Last NPPES UpdateSeptember 14, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2023

✔ NPI 1205527819 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 LA · 230060

2829 4TH AVE STE 150, Lake Charles, LA 70601

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Brantley Booth 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 ID7517326010

PECOS Enrollment IDI20230630001591

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

17 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190060

Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

Leave this field empty

Other Providers at the Same Location NPPES 16

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

LLOYD THURSTON KELLEY L..C.S.W.

Social Worker (Clinical)