JEREMY BOOTY APRN
NPI 1669877189
Nurse Practitioner - Psychiatric/Mental Health in Norwich, CT

Active since October 27, 2014PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremy Booty Aprn NPPES

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

JEREMY BOOTY APRN (NPI 1669877189) is an individual psychiatric/mental health provider in Norwich, Connecticut, licensed in Connecticut (5947) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1669877189
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJEREMY BOOTYCredential: APRN
Location Address47 TOWN STNorwich, CT 06360-2323
Mailing Address47 Town StNorwich, CT 06360-2323 · (860) 892-7042
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 27, 2014
Last NPPES UpdateJanuary 20, 2015
NPI 1669877189 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 CT · 5947
47 TOWN ST, Norwich, CT 06360

Other Identifiers 1

Medicaid008056298CT

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

Jeremy Booty Aprn 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 ID1254553571
PECOS Enrollment IDI20141120001538
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 06360 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Student in an Organized Health Care Education/Training Program
47 TOWN ST
NORWICH, CT 06360
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360
Nurse Practitioner (Psychiatric/Mental Health)
47 TOWN ST
NORWICH, CT 06360
Counselor (Professional)
47 TOWN ST
NORWICH, CT 06360
Counselor (Professional)
47 TOWN ST
NORWICH, CT 06360
Social Worker
47 TOWN ST
NORWICH, CT 06360
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360

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 Jeremy Booty's NPI number?

The NPI number for Jeremy Booty is 1669877189. It was assigned to this individual provider in the NPPES registry on October 27, 2014.

Where is Jeremy Booty located?

Jeremy Booty practices at 47 Town St, Norwich, CT 06360. The listed phone number is (860) 892-7042.

What is Jeremy Booty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jeremy Booty enrolled in Medicare?

Yes. Jeremy Booty 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.

When was this NPI record last updated?

The NPPES record for Jeremy Booty was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.