Molly Booy
Individual provider Active NPI Family Medicine Physician · Nome, AK
NPI 1811429640 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1811429640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 160471 (AK)
- Practice address
- 1000 Greg Kruschek Avenue
Nome, AK 99762-9976 - Phone
- (907) 443-3311
- Fax
- (907) 443-4594
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201005002560 | AK | Practitioner - Family Practice | 7012261829 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160471 | AK | MD | Family Medicine Physician |
| A167580 | CA | MD | Family Medicine Physician |
| 19985 | HI | MD | Family Medicine Physician |
| MD-19965 | HI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Sound Health Corporation | Family Medicine | Current |
Accepting new patients |
| Norton Sound Health Corporation | Current |
Accepting new patients | |
| Norton Sound Health Corporation | Current |
Accepting new patients |
Interoperability endpoints
- molly.booy.1@19917.direct.athenahealth.com
- mbooy@nshcorp.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A167580 | CA | |
| Family Medicine Physician | 207Q00000X | 19985 | HI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 160471 | AK | Yes |
Addresses
Primary practice location
1000 Greg Kruschek Avenue
Nome, AK 99762-9976
Mailing address
88 Piikoi St Apt 2302
Honolulu, HI 96814-4279
Phone (562) 483-3267
Other practice location 1
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-3313
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbooy@NSHCORP.ORG | Direct |
Other providers in Nome, AK
- Bering Wellness Center
- Rebecca Biasi
- Dealy E. Blackshear
- Michael Paul Blair
- Debbie Boolowon
- Elizabeth Keeley Bowman
- Erik Brandt
- Sharron Kay Breaker
- Kelli A Breuker
- Starla Kay Brewer
All providers in Nome, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.