Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. TARA JEAN BOOTH NNP-BC
NPI 1295009330
Nurse Practitioner - Neonatal, Critical Care in Jackson, MS

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Tara Booth was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.

Active since March 07, 2012PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2026, Jul 23, 2026 (2 updates tracked since 2026).

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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.

NPPES Registry Identity

NPI1295009330

Entity TypeIndividualFemale

Primary Taxonomy363LN0005X

Provider Legal NameMRS. TARA JEAN BOOTHCredential: NNP-BC

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-1000

Phone(601) 984-1000

Sole ProprietorNo

Enumeration DateMarch 7, 2012

Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1295009330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0005X

Licenses✔ Licensed in NM · 90018✔ Licensed in MS · R876166

2500 N STATE ST, Jackson, MS 39216

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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)

Mrs. Tara Jean Booth Nnp-bc 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 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.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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.

LAMAR DAVIS II M.D.

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