JEREMY BOOTY APRN
NPI 1669877189
Nurse Practitioner - Psychiatric/Mental Health in Norwich, CT
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
Specialties & Licenses
Other Identifiers 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 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Booty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 166 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 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.
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.
NORWICH, CT 06360
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.
Which organization bills Medicare for Jeremy Booty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Booty reassigns Medicare benefits to United Community And Family Services, Inc. (Norwich, CT). 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 Jeremy Booty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremy Booty accept?
Health plans from Anthem Blue Cross and Blue Shield list Jeremy Booty 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 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.
# Jeremy Booty, APRN · NPI 1669877189
Psychiatric/Mental Health physician in Norwich, Connecticut. Individual provider, active in the CMS NPPES registry since October 27, 2014.
## Identity
- **NPI:** 1669877189 (Entity type: Individual)
- **Enumerated:** October 27, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 5947 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 47 TOWN ST, Norwich, CT 06360-2323
- **Phone:** (860) 892-7042
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** United Community And Family Services, Inc. (NPI 1467482539, Norwich, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 20, 2015
- **Other identifiers:** Medicaid 008056298 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1669877189) · Data from the CMS NPPES public registry.