Individual provider Active NPI

Sierra H Boettcher, FNP-C

  • Nurse Practitioner
  • Indio, CA
National Provider Identifier
1184596249
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95037060 Issued in CA
Practice address
81709 Dr Carreon Blvd Ste C3
Indio, CA 92201-5577
Phone
(760) 541-5888
Fax
(760) 391-5159
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95037060 CA Primary

Addresses

Primary practice location

81709 Dr Carreon Blvd Ste C3
Indio, CA 92201-5577

Mailing address

79855 Derek Alan Dr
La Quinta, CA 92253-8136
Phone (760) 485-6666

Other practice location 1

1293 6th St
Coachella, CA 92236-1707
Phone (760) 391-5151

Other practice location 2

74000 Country Club Dr Ste J1
Palm Desert, CA 92260-1679
Phone (760) 541-5888

Other practice location 3

79440 Corporate Center Dr Ste 110
LA Quinta, CA 92253-7243
Phone (760) 541-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

74000 Country Club Dr
J1
Palm Desert, CA 92260-1679

81767 Doctor Carreon Blvd
Suite 201
Indio, CA 92201-5597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95037060CAMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1184596249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79855 DEREK ALAN DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538136",
            "telephone_number": "760-485-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD STE C3",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015577",
            "telephone_number": "760-541-5888",
            "fax_number": "760-391-5159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1293 6th St",
            "address_purpose": "LOCATION",
            "city": "Coachella",
            "state": "CA",
            "postal_code": "922361707",
            "country_code": "US",
            "telephone_number": "760-391-5151",
            "fax_number": "760-391-5159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74000 Country Club Dr Ste J1",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922601679",
            "country_code": "US",
            "telephone_number": "760-541-5888",
            "fax_number": "760-391-5159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79440 Corporate Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922537243",
            "country_code": "US",
            "telephone_number": "760-541-5888",
            "fax_number": "760-391-5159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOETTCHER",
        "first_name": "SIERRA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95037060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.