MARIANNE L BOETTGER RN, NP
NPI 1023279205
Nurse Practitioner - Gerontology in Little Rock, AR

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
4815 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 661-2000 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marianne L Boettger Rn, Np NPPES

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

MARIANNE L BOETTGER RN, NP (NPI 1023279205) is an individual gerontology provider in Little Rock, Arkansas, licensed in Minnesota (R 149402-6) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1023279205
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARIANNE L BOETTGERCredential: RN, NP
Location Address4815 W MARKHAM STLittle Rock, AR 72205-3866
Mailing Address4815 W Markham StLittle Rock, AR 72205-3866 · (501) 661-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 20, 2008
Last NPPES UpdateFebruary 3, 2015
NPI 1023279205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MN · R 149402-6
4815 W MARKHAM ST, Little Rock, AR 72205

Other Identifiers 1

Medicare PIN500004574MN

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

Marianne L Boettger Rn, Np 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 ID5395791396
PECOS Enrollment IDI20251001002662
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$107.10 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Pulmonary Disease)
4815 W MARKHAM ST
LITTLE ROCK, AR 72205
Public Health or Welfare
4815 W MARKHAM ST
LITTLE ROCK, AR 72205
Nurse Practitioner (Family)
4815 W MARKHAM ST
LITTLE ROCK, AR 72205
Public Health or Welfare
4815 W MARKHAM ST
LITTLE ROCK, AR 72205
Internal Medicine
4815 W MARKHAM ST, SLOT 41
LITTLE ROCK, AR 72205
Public Health or Welfare
4815 W MARKHAM ST
LITTLE ROCK, AR 72205
Internal Medicine (Infectious Disease)
4815 W MARKHAM ST
LITTLE ROCK, AR 72205
Dentist (Periodontics)
4815 W MARKHAM ST, SLOT 33
LITTLE ROCK, AR 72205

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 Marianne Boettger's NPI number?

The NPI number for Marianne Boettger is 1023279205. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Marianne Boettger located?

Marianne Boettger practices at 4815 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 661-2000.

What is Marianne Boettger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Marianne Boettger enrolled in Medicare?

Yes. Marianne Boettger 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.

When was this NPI record last updated?

The NPPES record for Marianne Boettger was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.