MRS. TARA JEAN BOOTH NNP-BC
NPI 1295009330
Nurse Practitioner - Neonatal, Critical Care in Jackson, MS
About Mrs. Tara Jean Booth Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TARA JEAN BOOTH NNP-BC (NPI 1295009330) is an individual neonatal, critical care provider in Jackson, Mississippi, licensed in New Mexico (90018) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Tara Jean Booth Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tara Booth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 Tara Booth's NPI number?
The NPI number for Tara Booth is 1295009330. It was assigned to this individual provider in the NPPES registry on March 7, 2012.
Where is Tara Booth located?
Tara Booth practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.
What is Tara Booth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
Is Tara Booth enrolled in Medicare?
Yes. Tara Booth is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tara Booth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Booth reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Booth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Booth accept?
Health plans from Molina Healthcare list Tara Booth 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 Tara Booth was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.
# Mrs. Tara Jean Booth, NNP-BC · NPI 1295009330
Neonatal, Critical Care physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since March 7, 2012.
## Identity
- **NPI:** 1295009330 (Entity type: Individual)
- **Enumerated:** March 7, 2012
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** 90018 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295009330) · Data from the CMS NPPES public registry.