Macie Ann Booker, APRN
Individual provider Active NPI Family Nurse Practitioner · Port Townsend, WA
NPI 1033708920 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1033708920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP61130443 (WA)
- Practice address
- 1274 7TH St Ste a
Port Townsend, WA 98368-2404 - Phone
- (360) 385-2204
- Fax
- (360) 385-3095
- NPI assigned
- Jan 14, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson County Public Hospital District No 2
Practice addresses (Care Compare)
1274 7TH St
Port Townsend, WA 98368-2404
Hospital & facility affiliations
- Jefferson Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210324003341 | WA | Practitioner - Nurse Practitioner | 2264849967 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61130443 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Public Hospital District No 2 | Current |
Accepting new patients | |
| Olympic Internal Medicine, Inc., P.S. | Current |
Accepting new patients |
Locations
2620 Wheaton Way
Bremerton, WA 98310
Phone (360) 377-3923
834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400
1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297
934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330
1274 7th St
#A
Port Townsend, WA 98368
Phone (360) 385-2204
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61130443 | WA | |
| Primary Care Nurse Practitioner | 363LP2300X | AP61130443 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61130443 | WA | Yes |
Addresses
Primary practice location
1274 7TH St Ste a
Port Townsend, WA 98368-2404
Mailing address
834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200
Other practice location 1
2620 Wheaton Way
Bremerton, WA 98310-3319
Phone (360) 377-3923
Other providers in Port Townsend, WA
- Trenatty E. Blackwell
- James Clayton Blair III
- Katrina Blair
- Patricia Ann Bolen
- Susan F Bone O'Brien
- Kelly Jo Booth
- Boyack & Despain PLLC
- Samantha Boyd
- Donette Boyett
- Rachel Lynne Braccio
All providers in Port Townsend, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.