Derek Booth
NPI 1568852986 · Psychiatric/Mental Health Nurse Practitioner · Lafayette, IN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Booth is a Psychiatric/Mental Health Nurse Practitioner provider in Lafayette, IN (NPI 1568852986).
Provider details
- NPI number
- 1568852986
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 71005314B (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-01-24
- Last updated
- 2015-01-24
Frequently asked questions
- What is Derek Booth's NPI number?
- Derek Booth's National Provider Identifier (NPI) is 1568852986, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Booth's specialty?
- Derek Booth is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Derek Booth located?
- Derek Booth's practice location on file with NPPES is 415 N 26th St, Lafayette, IN 47904-2895.
- What is Derek Booth's phone number?
- The practice phone number listed in the NPPES registry for Derek Booth is (765) 446-6577.
- Does Derek Booth accept Medicare?
- Derek Booth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Booth's NPI active?
- Yes — Derek Booth's NPI (1568852986) is active in the NPPES registry as of the last update on 2015-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.