MR. RYAN H BOOTHE DNP
NPI 1609419142
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Ryan Boothe's NPI number?

The NPI number for Ryan Boothe is 1609419142. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Q: What is Ryan Boothe'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 Ryan Boothe was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 28, 2019PECOS EnrolledAccepts Medicare Assignment

500 W THOMAS RD STE 230, PHOENIX, AZ 85013(602) 406-9999(602) 406-8099 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Dec 6, 2024, Oct 28, 2019 (3 updates tracked since 2019).

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About Mr. Ryan H Boothe Dnp NPPES

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

MR. RYAN H BOOTHE DNP (NPI 1609419142) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (226867) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Prescott, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609419142

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. RYAN H BOOTHECredential: DNP

Location Address500 W THOMAS RD STE 230Phoenix, AZ 85013-4245

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(602) 406-9999

Fax(602) 406-8099

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 28, 2019

Last NPPES UpdateJanuary 26, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1609419142 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 AZ · 226867

500 W THOMAS RD STE 230, Phoenix, AZ 85013

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Secondary Practice Location 1

Location 11050 Gail Gardner Way Ste 300Prescott, AZ 86305-1640 · Phone (602) 406-4786 · Fax (916) 636-4358

Other Identifiers 1

Medicaid125664AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Mr. Ryan H Boothe Dnp 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 ID5092192443

PECOS Enrollment IDI20220524002490

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

61 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 15

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

JENNIFER MOORE KRUSE PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)