Mary Ellen Booth, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

213927 Issued in LA

Practice address

1140 University Avenue
Monroe, LA 71209-5702

Phone

(318) 342-1651

Fax

(318) 342-3280

NPI assigned

Jul 8, 2020

Last updated

Jun 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baton Rouge Clinic, a Medical CorporationGroup PAC ID 1254317001, 285 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Baton Rouge Clinic, a Medical Corporation

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871546911
  Medicare reassignment Care Compare group NPD
• Affinity Health Group, LLC

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1023291226
  Medicare reassignment NPD
• Calcasieu Urgent Care LLC

  dba Calcasieu Urgent Care

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1467715490
  Medicare reassignment NPD
• St. Francis Urgent Care LLC

  • Urgent Care Clinic/Center
  • Monroe, LA
  • NPI 1194104513
  Medicare reassignment NPD
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winnfield, LA
  • NPI 1275769119
  Medicare reassignment NPD
• Affinity Health Group, LLC

  dba Affinity Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Monroe, LA
  • NPI 1861879249
  NPD
• Affinity Health Group, LLC

  dba Abraham Medical Clinic

  • Family Medicine Physician
  • Mangham, LA
  • NPI 1902850035
  NPD
• Baton Rouge Clinic, a Medical Corporation

  dba Baton Rouge Clinic Eye Care

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1528941655
  NPD
• Calcasieu Urgent Care, LLC

  • Rural Health Clinic/Center
  • Breaux Bridge, LA
  • NPI 1194482398
  NPD
• Winn Community Health Center, Inc.

  dba Cypress Springs ESBC

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1447133459
  NPD
• Winn Community Health Center, Inc.

  dba Acadian Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1518589456
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1083232771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST STE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017363",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 UNIVERSITY AVENUE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712095702",
            "telephone_number": "318-342-1651",
            "fax_number": "318-342-3280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Tower Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015036",
            "country_code": "US",
            "telephone_number": "318-998-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "213927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Booker T Community Outreach Project (The John Breaux Assisted Living Center)
• Booker T. Community Outreach, Inc
• Lauren Booker, RN
• Demetrius Boose
• Amanda Booth, M.A., PLPC
• Shelly Booth
• Tamara L Bordelon, PT
• Bosley Clinic
• Markus Bosley, PSS, PAS-DOT, LAC
• Scherdonna Boston

• Family Nurse Practitioner in Monroe, LA
• Providers in Monroe, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.