Active NPI
Mary Kathleen Booten, FNP-BC
- Family Nurse Practitioner
- Pikeville, KY
National Provider Identifier
1093408510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4004974
- Practice address
- 911 Bypass Rd BLDG a
Pikeville, KY 41501-1602 - Phone
- (606) 430-2206
- Fax
- (606) 218-7506
- NPI assigned
- May 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4004974 | KY | Primary |
Addresses
Primary practice location
911 Bypass Rd BLDG a
Pikeville, KY 41501-1602
Mailing address
PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-2206
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbooten20545@PIKEVILLEKYDIRECT.ORG | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4862 Dickenson Hwy
PO Box 1810
Clintwood, VA 24228-1810
911 Bypass Rd
BLDG a
Pikeville, KY 41501-1689
Phone (606) 430-3500
Hospital & facility affiliations
- Pikeville Medical Center
- Lonesome Pine Hospital
- Tug Valley Arh Regional Medical Center
- Hazard Arh Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 81.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Past | Accepting new patients |
Locations
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530
911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201
Interoperability endpoints
- mbooten20545@pikevillekydirect.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
-
- Physical Therapist
- Clintwood, VA
- NPI 1871513788
-
- Multi-Specialty Clinic/Center
- Cheyenne, WY
- NPI 1891599502
-
- Sleep Disorder Diagnostic Clinic/Center
- Whitesburg, KY
- NPI 1871575498
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Multi-Specialty Clinic/Center
- Hazard, KY
- NPI 1558431346
Hospital
-
- General Acute Care Hospital
- Hazard, KY
- NPI 1609869916
-
- General Acute Care Hospital
- South Williamson, KY
- NPI 1649270257
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
-
- General Acute Care Hospital
- Big Stone Gap, VA
- NPI 1801826912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1093408510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415020432",
"telephone_number": "606-430-2206",
"fax_number": "606-218-7506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 BYPASS RD BLDG A",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011602",
"telephone_number": "606-430-2206",
"fax_number": "606-218-7506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTEN",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4004974",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbooten20545@PIKEVILLEKYDIRECT.ORG",
"affiliation": "N",
"endpointDescription": "Direct address for ccda",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Standard direct functionality",
"address_1": "911 Bypass Rd Bldg A",
"city": "Pikeville",
"state": "KY",
"country_code": "US",
"postal_code": "415011602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.