Active NPI
Mary J Bootz, FNP
- Family Nurse Practitioner
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP8986
- Practice address
- 1760 E Pecos Rd Ste 215
Gilbert, AZ 85295-3202 - Phone
- (480) 448-2411
- NPI assigned
- Oct 18, 2016
- Last updated
- Jun 11, 2024
- Sex
- Female
- Sole proprietor
- No
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 | AP8986 | AZ | Primary |
Addresses
Primary practice location
1760 E Pecos Rd Ste 215
Gilbert, AZ 85295-3202
Mailing address
840 E McKellips Rd Ste 105
Mesa, AZ 85203-9654
Phone (602) 491-0701
Other practice location 1
36543 N Gantzel Rd Ste 102
San Tan Valley, AZ 85140-7347
Phone (480) 401-1811
Other practice location 2
2915 E Baseline Rd Ste 101
Gilbert, AZ 85234-2427
Phone (480) 776-0626
Other names 1
- Mary J O'Brien
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1760 E Pecos Rd
Suite 215
Gilbert, AZ 85295-3202
Phone (480) 448-2411
3200 N Dobson Rd
Suite B 1
Chandler, AZ 85224-9608
Phone (602) 491-0703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP8986 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthyu Family Medicine, LLC | Current | Accepting new patients | |
| Innovative Primary Care LLC | Current | Accepting new patients | |
| Aloha Cardiology P.C. | Past | Accepting new patients | |
| Prescott Healthcare Solutions LLC | Family | Past | Accepting new patients |
Locations
3200 N Dobson Rd
Ste B-1
Chandler, AZ 85224
Phone (602) 491-0701
1760 E Pecos Rd
Ste 215
Gilbert, AZ 85295
Phone (480) 448-2411
2353 E Baseline Rd
Gilbert, AZ 85234
2915 E Baseline Rd
Ste 101
Gilbert, AZ 85234
Phone (480) 776-0626
3530 S Val Vista Dr
Ste C101
Gilbert, AZ 85297
Phone (480) 840-9155
840 E McKellips Rd
Ste 105
Mesa, AZ 85203
Phone (602) 491-0701
840 E McKellips Rd
Ste 107
Mesa, AZ 85203
Phone (602) 491-0701
15255 N 40th St
Ste 105
Phoenix, AZ 85032
Phone (602) 867-2690
Interoperability endpoints
- https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4
- mary.bootz.3@24378.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1669149787
-
- Legal Medicine
- Gilbert, AZ
- NPI 1669437349
-
- Primary Care Clinic/Center
- Gilbert, AZ
- NPI 1306229067
-
dba Optima Medical
- Family Medicine Physician
- Prescott, AZ
- NPI 1821454505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1851842447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 E MCKELLIPS RD STE 105",
"city": "MESA",
"state": "AZ",
"postal_code": "852039654",
"telephone_number": "602-491-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 E PECOS RD STE 215",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852953202",
"telephone_number": "480-448-2411"
}
],
"practiceLocations": [
{
"address_1": "36543 N Gantzel Rd Ste 102",
"address_purpose": "LOCATION",
"city": "San Tan Valley",
"state": "AZ",
"postal_code": "851407347",
"country_code": "US",
"telephone_number": "480-401-1811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2915 E Baseline Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852342427",
"country_code": "US",
"telephone_number": "480-776-0626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOOTZ",
"first_name": "MARY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP8986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "O'BRIEN",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.