CARRIE JEAN BOOTS N.P.
NPI 1003012352
Nurse Practitioner - Family in Fort Wayne, IN

Active since June 25, 2007PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
7910 W JEFFERSON BLVD STE 108, FORT WAYNE, IN 46804(260) 484-8830(260) 483-1911 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2025, Dec 13, 2024, Jul 23, 2020 and 1 more (4 updates tracked since 2018).

About Carrie Jean Boots N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARRIE JEAN BOOTS N.P. (NPI 1003012352) is an individual family provider in Fort Wayne, Indiana, licensed in Iowa (71002416A) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1003012352
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARRIE JEAN BOOTSCredential: N.P.
Location Address7910 W JEFFERSON BLVD STE 108Fort Wayne, IN 46804-4159
Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (855) 963-2100 · Fax (239) 236-2775
Fax(260) 483-1911
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 25, 2007
Last NPPES UpdateMay 15, 20254 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1003012352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IA · 71002416A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71002416A (IN)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 71002416A (IN)
7910 W JEFFERSON BLVD STE 108, Fort Wayne, IN 46804

Other Names 1

Former Name (1)Carrie Jean Baller N.p.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carrie Jean Boots N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678665437
PECOS Enrollment IDI20070824000029
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
221 services151 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services45 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

St Joseph Health System, LLC

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150047
Location702 Van Buren StreetFort Wayne, IN 46802 · Allen County
Emergency services

Bluffton Regional Medical Center

Acute Care Hospitals · Bluffton, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150075
Location303 S Main StBluffton, IN 46714 · Wells County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN
OwnershipGovernment - Local
CMS Certification Number151330
Location1100 Mercer AveDecatur, IN 46733 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.19
Promoting Interoperability87
Improvement Activities40
Cost53.13

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804
Internal Medicine (Hematology & Oncology)
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804
Nurse Practitioner
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804
Internal Medicine (Hematology & Oncology)
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804
Physician Assistant
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carrie Boots's NPI number?

The NPI number for Carrie Boots is 1003012352. It was assigned to this individual provider in the NPPES registry on June 25, 2007. The provider is also known as Carrie Jean Baller N.P..

Where is Carrie Boots located?

Carrie Boots practices at 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804. The listed phone number is (260) 484-8830.

What is Carrie Boots's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carrie Boots enrolled in Medicare?

Yes. Carrie Boots is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carrie Boots accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 3 other insurers list Carrie Boots as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carrie Boots affiliated with any hospitals?

According to CMS data, Carrie Boots is affiliated with Lutheran Hospital Of Indiana, St Joseph Health System, LLC, Bluffton Regional Medical Center, Parkview Huntington Hospital and Adams Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carrie Boots was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.