Individual provider Active NPI

Janie Boozer

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1629939277
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
31263 Issued in SC
Practice address
149 Commons Way
Greenville, SC 29611-3850
Phone
(864) 520-2020
NPI assigned
Nov 22, 2025
Last updated
Nov 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 31263 SC Primary

Addresses

Primary practice location

149 Commons Way
Greenville, SC 29611-3850

Mailing address

316 Fernleaf Dr
Travelers Rest, SC 29690-9621
Phone (813) 727-6361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211004090 SC Practitioner - Nurse Practitioner 2062991789 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

121 Commons Way
Greenville, SC 29611-3850

125 Commons Way
Greenville, SC 29611-3850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Itrust Wellness Group Psychiatric/Mental Health CurrentSince Nov 24, 2025 Accepting new patients
Itrust Cares LLC Psychiatric/Mental Health PastSince Nov 24, 2025 Accepting new patients

Locations

125 Commons Way
Greenville, SC 29611
Phone (864) 675-4425

149 Commons Way
Greenville, SC 29611

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1763769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1629939277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 FERNLEAF DR",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909621",
            "telephone_number": "813-727-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 COMMONS WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113850",
            "telephone_number": "864-520-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOZER",
        "first_name": "JANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-22",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "31263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.