MR. ROGER MARK BOOTH JR. APRN-CNP
NPI 1275150047
Nurse Practitioner - Gerontology in Huntington, WV

Q: What is Roger Booth's NPI number?

The NPI number for Roger Booth is 1275150047. It was assigned to this individual provider in the NPPES registry on June 28, 2020.

Q: What is Roger Booth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Roger Booth was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 28, 2020PECOS Enrolled

1540 SPRING VALLEY DR, HUNTINGTON, WV 25704(304) 429-6741(215) 842-4233 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 17, 2025, Jun 28, 2020 (2 updates tracked since 2020).

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About Mr. Roger Mark Booth Jr. Aprn-cnp NPPES

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

MR. ROGER MARK BOOTH JR. APRN-CNP (NPI 1275150047) is an individual gerontology provider in Huntington, West Virginia, licensed in West Virginia (105246) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275150047

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameMR. ROGER MARK BOOTH JR.Credential: APRN-CNP

Location Address1540 SPRING VALLEY DRHuntington, WV 25704-9501

Mailing Address1540 Spring Valley DrHuntington, WV 25704-9501 · (304) 429-6741 · Fax (215) 842-4233

Phone(304) 429-6741

Fax(215) 842-4233

Sole ProprietorYes

Enumeration DateJune 28, 2020

Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1275150047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LG0600X

License✔ Licensed in WV · 105246

1540 SPRING VALLEY DR, Huntington, WV 25704

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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)

Mr. Roger Mark Booth Jr. Aprn-cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25704 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

LORA BROWN CRNA

Nurse Anesthetist, Certified Registered