Carrie Jean Boots, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71002416A Issued in IA

Practice address

7910 W Jefferson Blvd Ste 108
Fort Wayne, IN 46804-4159

Phone

(260) 484-8830

Fax

(260) 483-1911

NPI assigned

Jun 25, 2007

Sex

Female

Sole proprietor

No

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

• American Oncology Partners PA

  • Hematology & Oncology Physician
  • Columbus, OH
  • NPI 1265929723

  IN, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Fort Wayne Medical Oncology and Hematology, Inc

  • Hematology & Oncology Physician
  • Fort Wayne, IN
  • NPI 1376533158

  IN

  Medicare reassignment NPD
• American Oncology Partners, P.a.

  • Hematology & Oncology Physician
  • Council Bluffs, IA
  • NPI 1336798750
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adams County Memorial Hospital

  • Critical Access Hospital
  • Decatur, IN
  • NPI 1689696148

  Hospital

  Care Compare affiliation
• Bluffton Health System LLC

  • General Acute Care Hospital
  • Bluffton, IN
  • NPI 1376594366

  Hospital

  Care Compare affiliation
• Huntington Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Huntington, IN
  • NPI 1003821729

  Hospital

  Care Compare affiliation
• Iom Health System LP

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1306897335

  Hospital

  Care Compare affiliation
• St. Joseph Health System, LLC

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1023060472

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Oncology Partners PA 377 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adams Memorial Hospital Hospital, Decatur, IN, CCN 151330
• Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
• Bluffton Regional Medical Center Hospital, Bluffton, IN, CCN 150075
• Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091
• St Joseph Health System, LLC Hospital, Fort Wayne, IN, CCN 150047

Merit-based Incentive Payment System (MIPS)

Final score

82.69 of 100Reported as group

Quality

86.47

Promoting interoperability

81

Improvement activities

40

Cost

60.96

Medicare fee-for-service enrollment

Enrolled in IN

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

• Carrie Jean Baller Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2025.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1003012352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "239-236-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD STE 108",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-484-8830",
            "fax_number": "260-483-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTS",
        "first_name": "CARRIE",
        "middle_name": "JEAN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002416A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71002416A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "71002416A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "BALLER",
            "middle_name": "JEAN",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Booth & Company, Inc.
• Alicia Anne Booth
• Sam Booth, M.A.
• Spencer Jenkins Booth, PSYD, HSPP
• Tami Elaine Booth, LMHC
• Layla Bopp
• Tarena Michele Borden, MA
• William J Borders
• Nicole Borem Schickel, CRNA
• Aric A Borjas

• All providers in Fort Wayne, IN
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.