Individual provider Active NPI

Mary J Bootz, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1851842447
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8986 Issued in AZ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161230001701 AZ Practitioner - Nurse Practitioner 5890076012 Reassigns benefits to 3 organizations

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
Healthyu Family Medicine LLCGroup PAC ID 6204224918, 43 clinicians

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

LicenseStateTypeSpecialty
AP8986AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthyu Family Medicine, LLC CurrentSince May 16, 2024 Accepting new patients
Innovative Primary Care LLC CurrentSince Apr 4, 2022 Accepting new patients
Aloha Cardiology P.C. PastSince Apr 4, 2022 Accepting new patients
Prescott Healthcare Solutions LLC Family PastSince Oct 19, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.