COZZETTE K BOOKER PMHNP-BC, AGNP-C,
NPI 1831575026
Nurse Practitioner - Psychiatric/Mental Health in Salem, VA

Q: What is Cozzette Booker's NPI number?

The NPI number for Cozzette Booker is 1831575026. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Q: What is Cozzette Booker'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 Cozzette Booker was last updated on April 6, 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.

Active since August 11, 2015PECOS EnrolledAccepts Medicare Assignment

1970 ROANOKE BLVD, PRIMARY CARE CLINIC 1, SALEM, VA 24153(540) 982-2463(540) 224-1904 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2023, Feb 23, 2023, Oct 4, 2022 (3 updates tracked since 2022).

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About Cozzette K Booker Pmhnp-bc, Agnp-c, NPPES

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

COZZETTE K BOOKER PMHNP-BC, AGNP-C, (NPI 1831575026) is an individual psychiatric/mental health provider in Salem, Virginia, licensed in Virginia (0024173569) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2015).

NPPES Registry Identity

NPI1831575026

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCOZZETTE K BOOKERCredential: PMHNP-BC, AGNP-C,

Location Address1970 ROANOKE BLVD, PRIMARY CARE CLINIC 1Salem, VA 24153-6404

Mailing Address2520 Roundtop Rd NwRoanoke, VA 24012-3314 · (540) 892-6631

Phone(540) 982-2463

Fax(540) 224-1904

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2015

Enumeration DateAugust 11, 2015

Last NPPES UpdateApril 6, 20233 updates tracked since enumeration

NPPES CertifiedApril 6, 2023

✔ NPI 1831575026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in VA · 0024173569

Also ListedRegistered NurseTaxonomy 163W00000X · License 0001208365 (VA)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 0024173569 (VA)

1970 ROANOKE BLVD, Salem, VA 24153

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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

Cozzette K Booker Pmhnp-bc, Agnp-c, 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 ID6103100482

PECOS Enrollment IDI20260319001789

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.

Medicare Billing Reassignment

Medicare enrollment records show Cozzette Booker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Telehealth

2.2 mi

Psychiatric/Mental Health

2129 ELECTRIC RD STE 100
Roanoke, VA 24018

Reassigned Medicare billing, Virginia enrollment
5 clinicians in this Medicare group

NPI 1528658895 (540) 553-6790

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 24153 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

MS. MALINDA FAYE SHELOR-ROGERS MSW, ACSW, LCSW

Social Worker (Clinical)

1970 ROANOKE BLVD, SALEM VA MEDICAL CENTER
SALEM, VA 24153

Salem City (540) 982-2463

DR. PETER LEWIS WILLS PHARM.D.

Pharmacist

1970 ROANOKE BLVD, DEPARTMENT 119
SALEM, VA 24153

Salem City (540) 982-2463

DR. JAMES PAARLBERG PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)