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MRS. KATHILEEN RILEY BOOZER CFNP
NPI 1275892093
Dermatology in Waco, TX

Active since May 14, 2012PECOS EnrolledAccepts Medicare Assignment
7125 NEW SANGER AVE STE 502, WACO, TX 76712(254) 343-7919(254) 459-3711 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 28, 2025, Sep 16, 2024, Aug 16, 2023 (3 updates tracked since 2023).

About Mrs. Kathileen Riley Boozer Cfnp NPPES

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

MRS. KATHILEEN RILEY BOOZER CFNP (NPI 1275892093) is an individual dermatology provider in Waco, Texas, licensed in Texas (AP121522) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Temple, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1275892093
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMRS. KATHILEEN RILEY BOOZERCredential: CFNP
Location Address7125 NEW SANGER AVE STE 502Waco, TX 76712-4054
Mailing Address7125 New Sanger Ave Ste 502Waco, TX 76712-4054 · (254) 343-7919 · Fax (254) 459-3711
Phone(254) 343-7919
Fax(254) 459-3711
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 14, 2012
Last NPPES UpdateMay 28, 20253 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1275892093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · AP121522
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 762114 (TX), AP121522 (TX)
7125 NEW SANGER AVE STE 502, Waco, TX 76712
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Secondary Practice Location 1

Location 1213 Paloma DrTemple, TX 76502-2211 · Phone (254) 343-7919 · Fax (254) 459-3711

Other Identifiers 1

Medicaid111521403TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Mrs. Kathileen Riley Boozer Cfnp 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 ID2668698432
PECOS Enrollment IDI20140731000769
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 76712 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 3

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

KENNETH KYLE BALLEW DPM
Podiatrist (Foot & Ankle Surgery)
7125 NEW SANGER AVE STE 502
WACO, TX 76712
McLennan County (254) 732-2224
INSPIRED SKIN WELLNESS, LLC.
Dermatology
7125 NEW SANGER AVE STE 502
WACO, TX 76712
McLennan County (254) 343-7919
ESMPT, LLC
Clinic/Center (Physical Therapy)
7125 NEW SANGER AVE STE 502
WACO, TX 76712
McLennan County (254) 325-9817

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 Kathileen Boozer's NPI number?

The NPI number for Kathileen Boozer is 1275892093. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Where is Kathileen Boozer located?

Kathileen Boozer practices at 7125 New Sanger Ave Ste 502, Waco, TX 76712. The listed phone number is (254) 343-7919.

What is Kathileen Boozer's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kathileen Boozer enrolled in Medicare?

Yes. Kathileen Boozer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathileen Boozer accept?

Health plans from Blue Cross and Blue Shield of Texas list Kathileen Boozer 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 Kathileen Boozer was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.