NODINE JULIET BOOTHE
NPI 1730883554
Nurse Practitioner - Psychiatric/Mental Health in Columbia, MD
About Nodine Juliet Boothe NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NODINE JULIET BOOTHE (NPI 1730883554) is an individual psychiatric/mental health provider in Columbia, Maryland, licensed in Maryland (R180386) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nodine Juliet Boothe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nodine Boothe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Silver Spring, MD 20902
- Reassigned Medicare billing, District of Columbia enrollment
- 74 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 21045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nodine Boothe's NPI number?
The NPI number for Nodine Boothe is 1730883554. It was assigned to this individual provider in the NPPES registry on March 27, 2023.
Where is Nodine Boothe located?
Nodine Boothe practices at 5618 Oakland Mills Rd, Columbia, MD 21045. The listed phone number is (410) 564-8133.
What is Nodine Boothe's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nodine Boothe enrolled in Medicare?
Yes. Nodine Boothe is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nodine Boothe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nodine Boothe reassigns Medicare benefits to Montgomery County Maryland Government (Silver Spring, MD). 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 Nodine Boothe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nodine Boothe was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Nodine Juliet Boothe · NPI 1730883554
Psychiatric/Mental Health physician in Columbia, Maryland. Individual provider, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1730883554 (Entity type: Individual)
- **Enumerated:** March 27, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R180386 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5618 OAKLAND MILLS RD, Columbia, MD 21045-3218
- **Phone:** (410) 564-8133
## 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:** Montgomery County Maryland Government (NPI 1104946482, Silver Spring, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1730883554) · Data from the CMS NPPES public registry.