KIMBERLY ANN BOOTH NP
NPI 1063954964
Nurse Practitioner - Acute Care in San Antonio, TX
NPI Status: Active since November 08, 2016
Contact Information
4458 MEDICAL DR STE 505
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 690-7400
- Individual
- Female
- Nurse Practitioner
- Acute Care
- Accepts Insurance
- PECOS Enrolled
About KIMBERLY BOOTH
This page provides the complete NPI Profile along with additional information for Kimberly Booth, a provider established in San Antonio, Texas with a medical specialization in Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1063954964 assigned on November 2016. The practitioner's primary taxonomy code is 363LA2100X with license number AP132542 (TX). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1063954964
- Provider Name
- KIMBERLY ANN BOOTH NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229
- Location Phone
- (210) 690-7400
- Mailing Address
- 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229
- Mailing Phone
- (210) 690-7400
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-08-2016
- Last Update Date
- 05-21-2021
- Code Navigator
A nurse practitioner (NP) like Kimberly Booth is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Acute Care
- Taxonomy Code
- 363LA2100X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP132542
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Imperial Preferred Bronze - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Gold Zero - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
- Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kimberly Booth is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
5 DME suppliers used 76 Medicare Claims 76 Services Paid
DME-Other DME (DE005N)
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)
5 DME suppliers used 53 Medicare Claims 53 Services Paid
DME-Other DME (DE000N)
Nebulizer, with compressor (HCPCS:E0570)
3 DME suppliers used 16 Medicare Claims 18 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
6 DME suppliers used 97 Medicare Claims 97 Services Paid
DME-Oxygen and Supplies (DC002N)
Portable oxygen concentrator, rental (HCPCS:E1392)
2 DME suppliers used 21 Medicare Claims 21 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78229 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.05
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $24.26
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 9 | 5 | 4 | 9 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 18 | 5 | 8 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 8 + 5 + 8 + 9 + 1 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1063954964 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396001830 | MISS ESHA ELIZABETH OOMMEN Individual | Internal Medicine (Pulmonary Disease) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1659783843 | KHUSHBU PATEL M.D. Individual | Internal Medicine (Critical Care Medicine) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1952697179 | JEFFREY JAVED MD Individual | Internal Medicine (Critical Care Medicine) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1518232818 | DR. JAMES WALTER STEVES M.D. Individual | Internal Medicine (Critical Care Medicine) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1629368535 | TEXAS IPS LLC Organization | Internal Medicine (Pulmonary Disease) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1053623512 | DR. BRAVEIN AMALAKUHAN M.D. Individual | Internal Medicine (Pulmonary Disease) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1083091771 | DR. PRAVEEN BELUR M.D. Individual | Internal Medicine (Pulmonary Disease) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1487933446 | AHMAD HASHEM ALTARAWNEH Individual | Internal Medicine (Nephrology) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1588843239 | CHARLES J. BURCH, M.D., P.A. Organization | Internal Medicine (Pulmonary Disease) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1528413598 | MOHAMED ABDALLA MD Individual | Internal Medicine (Pulmonary Disease) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1538512371 | FERNANDO VAZQUEZ DE LARA PADILLA M.D. Individual | Internal Medicine (Pulmonary Disease) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1629676341 | MS. JANNA REEVES AGACNP-BC Individual | Nurse Practitioner (Acute Care) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 638-2472 |
| 1477084366 | ADAM LAERTES GOTTULA Individual | Internal Medicine (Critical Care Medicine) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1720425580 | MICHELLE JOY BRUCAL DO Individual | Internal Medicine | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1588185854 | AJIT K. THOTA MD Individual | Internal Medicine (Pulmonary Disease) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1184078412 | AKSHAR CHAUHAN MD Individual | Internal Medicine (Pulmonary Disease) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1790217420 | ALEXANDRA MARI DO Individual | Internal Medicine (Pulmonary Disease) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1861889180 | NANCY SATSANGI Individual | Anesthesiology (Critical Care Medicine) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1457856213 | ALICIA ROCIO LIENDO MD Individual | Internal Medicine (Critical Care Medicine) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
| 1225559081 | ARISTIDES JOSE ARMAS VILLALBA MD Individual | Internal Medicine (Pulmonary Disease) | 4458 MEDICAL DR STE 505 SAN ANTONIO, TX 78229 (210) 690-7400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063954964, enumerated in the NPI registry as an "individual" on November 08, 2016
The provider is located at 4458 Medical Dr Ste 505 San Antonio, Tx 78229 and the phone number is (210) 690-7400
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2100X with a focus in Acute Care
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.05 and an average copayment of 24.26. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 08, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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