CARRIE JEAN BOOTS N.P. NPI 1003012352
Nurse Practitioner - Adult Health in Fort Wayne, IN
About CARRIE JEAN BOOTS N.P.
Carrie Boots is a provider established in Fort Wayne, Indiana and her medical specialization is Nurse Practitioner with a focus in adult health with more than 18 years of experience. The NPI number of this provider is 1003012352 and was assigned on June 2007. The practitioner's primary taxonomy code is 363LA2200X with license number 71002416A (IN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
| NPI | 1003012352 |
| Provider Name | CARRIE JEAN BOOTS N.P. |
| Location Address | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 |
| Location Phone | (260) 484-8830 |
| Mailing Address | 6610 MUTUAL DR FORT WAYNE, IN 46825 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-25-2007 |
| Last Update Date | 07-23-2020 |
A nurse practitioner (NP) like Carrie Boots is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Carrie Boots is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Carrie Boots is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Bluffton Regional Medical Center and Adams Memorial Hospital.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: advance care plan, breast cancer screening, clinical data registry reporting, closing the referral loop: receipt of specialist report, colorectal cancer screening, documentation of current medications in the medical record, electronic case reporting, e-prescribing, oncology: medical and radiation pain intensity quantified, oncology: medical and radiation - plan of care for pain, pneumococcal vaccination status for older adults, preventive care and screening: influenza immunization, preventive care and screening: screening for depression and follow-up plan, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patients electronic access to their health information, query of the prescription drug monitoring program (pdmp), security risk analysis and support electronic referral loops by sending health information.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.13 for a new patient copayment and $24.53 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 363LA2200X |
| Classification | Nurse Practitioner |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| Specialization | Adult Health |
| License No. | 71002416A |
| License State | IN |
Business Address
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN
ZIP 46804
Phone: (260) 484-8830
Fax: (260) 483-1911
Mailing Address
6610 MUTUAL DR
FORT WAYNE, IN
ZIP 46825
Phone: (260) 484-8830
Fax: (260) 483-1911
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3678665437 |
| PECOS Enrollment ID | I20070824000029 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 46804 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $54.76 | $167.54 | $84.54 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.69 | $41.88 | $21.13 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.96 | $137.16 | $98.12 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.24 | $34.29 | $24.53 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 100 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 99 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 99.7 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Plan | 55% | 942 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan. | ||
| Breast Cancer Screening | 1% | 490 |
| Percentage of women 50 - 74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the measurement period. | ||
| Clinical Data Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to a clinical data registry. | ||
| Closing the Referral Loop: Receipt of Specialist Report | 100% | 23 |
| Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred. | ||
| Colorectal Cancer Screening | 10% | 870 |
| Percentage of patients 50-75 years of age who had appropriate screening for colorectal cancer. | ||
| Documentation of Current Medications in the Medical Record | 90% | 2415 |
| Percentage of visits for patients aged 18 years and older for which the MIPS eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration. | ||
| Electronic Case Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to electronically submit case reporting of reportable conditions. | ||
| e-Prescribing | 98% | 785 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT. | ||
| Oncology: Medical and Radiation Pain Intensity Quantified | 100% | 470 |
| Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified. | ||
| Oncology: Medical and Radiation - Plan of Care for Pain | 87% | 114 |
| Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain. | ||
| Pneumococcal Vaccination Status for Older Adults | 60% | 719 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine. | ||
| Preventive Care and Screening: Influenza Immunization | 28% | 783 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization. | ||
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 49% | 1258 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter or 14 days prior to the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the eligible encounter. | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 82% | 478 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user. | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 81% | 478 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| - Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:- Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);- Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/orProvision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patients Electronic Access to Their Health Information | 98% | 1700 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT). | ||
| Query of the Prescription Drug Monitoring Program (PDMP) | Yes | N/A |
| For at least one Schedule II opioid electronically prescribed using CEHRT during the performance period, the MIPS eligible clinician uses data from CEHRT to conduct a query of a Prescription Drug Monitoring Program (PDMP) for prescription drug history, except where prohibited and in accordance with applicable law. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Support Electronic Referral Loops By Sending Health Information | 100% | 24 |
| For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider - (1) creates a summary of care record using certified electronic health record technology (CEHRT); and (2) electronically exchanges the summary of care record. | ||
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Carrie Boots is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| BLUFFTON REGIONAL MEDICAL CENTER | 303 S MAIN ST BLUFFTON, IN 46714 | (260) 824-3210 | Acute Care Hospitals | 150075 | |
| ADAMS MEMORIAL HOSPITAL | 1100 MERCER AVE DECATUR, IN 46733 | (260) 724-2145 | Critical Access Hospitals | 151330 |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 2 | 3 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 4 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 4 + 3 + 1 + 0 + 24 = 38 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 38 = 2 | 2 | ||||||||
The NPI number 1003012352 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508330796 | SHELLEY D SEABOLT NP Individual | Nurse Practitioner | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 484-8830 |
| 1073515987 | PRAVEEN KOLLIPARA MD Individual | Internal Medicine (Hematology & Oncology) | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 484-8830 |
| 1790787604 | STEVEN N RHINEHART MD Individual | Internal Medicine (Hematology & Oncology) | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 484-8830 |
| 1831173269 | YASOLATHA NALAMOLU MD Individual | Internal Medicine (Hematology & Oncology) | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 484-8830 |
| 1639148232 | DR. DAVID M ZIMMERMAN M.D. Individual | Internal Medicine (Hematology & Oncology) | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 484-8830 |
| 1265819064 | GUINEVERE M NILLES PA Individual | Physician Assistant | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 484-8830 |
| 1447252135 | MATTHEW L CARR MD Individual | Internal Medicine (Hematology & Oncology) | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 484-8830 |
| 1891968301 | SUNIL BABU M.D. Individual | Internal Medicine (Hematology & Oncology) | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 484-8830 |
| 1134330061 | RYAN A GONZALES M.D. Individual | Internal Medicine (Hematology & Oncology) | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 484-8830 |
| 1831796762 | TARA LYNN LELAND NP-C Individual | Nurse Practitioner (Family) | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 436-0800 |
| 1841923208 | LINDSAY K GOUGH NP Individual | Nurse Practitioner (Family) | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 436-0800 |
| 1861525560 | DR. AHAD ALI SADIQ M.D Individual | Internal Medicine (Hematology & Oncology) | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 484-8830 |
| 1366187882 | MRS. SANDRA SUE CHARLES FNP-C Individual | Nurse Practitioner (Family) | 7910 W JEFFERSON BLVD STE 108 FORT WAYNE, IN 46804 (260) 436-0800 |
Frequently Asked Questions
What is Carrie Boots N.P. NPI number?
The NPI number assigned to this healthcare provider is 1003012352, registered as an "individual" on June 25, 2007
Where is Carrie Boots N.P. located?
The provider is located at 7910 W Jefferson Blvd Ste 108 Fort Wayne, In 46804 and the phone number is (260) 484-8830
Which is Carrie Boots N.P. specialty?
The provider's speciality is Nurse Practitioner with a focus in Adult Health
How many years of experience does Carrie Boots N.P. have?
The provider has more than 18 years of experience.
Is Carrie Boots N.P. registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Carrie Boots N.P. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Closing the Referral Loop: Receipt of Specialist Report, Documentation of Current Medications in the Medical Record, e-Prescribing, Oncology: Medical and Radiation Pain Intensity Quantified, Oncology: Medical and Radiation - Plan of Care for Pain, Provide Patients Electronic Access to Their Health Information , Support Electronic Referral Loops By Sending Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
How much is a visit to Carrie Boots N.P.?
Medicare beneficiaries should expect a typical cost of $84.54 with an average copayment of $21.13 for new patient appointments. Established patients should expect a typical charge of $98.12 and an average copayment of 24.53. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Carrie Boots N.P. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: BLUFFTON REGIONAL MEDICAL CENTER and ADAMS MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Carrie Boots N.P. was last updated on June 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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