ELISE J BOOTH FNP-C
NPI 1104396498
Nurse Practitioner - Family in Fort Collins, CO
About Elise J Booth Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE J BOOTH FNP-C (NPI 1104396498) is an individual family provider in Fort Collins, Colorado, licensed in Colorado (APN.0994183) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Elise J Booth Fnp-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80528 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT COLLINS, CO 80528
FORT COLLINS, CO 80528
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 Elise Booth's NPI number?
The NPI number for Elise Booth is 1104396498. It was assigned to this individual provider in the NPPES registry on November 28, 2018.
Where is Elise Booth located?
Elise Booth practices at 2244 E Harmony Rd Ste 110, Fort Collins, CO 80528. The listed phone number is (970) 658-5115.
What is Elise Booth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elise Booth enrolled in Medicare?
Yes. Elise Booth 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 Elise Booth was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Elise J Booth, FNP-C · NPI 1104396498
Family physician in Fort Collins, Colorado. Individual provider, active in the CMS NPPES registry since November 28, 2018.
## Identity
- **NPI:** 1104396498 (Entity type: Individual)
- **Enumerated:** November 28, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN.0994183 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 2244 E HARMONY RD STE 110, Fort Collins, CO 80528-3422
- **Phone:** (970) 658-5115
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1104396498) · Data from the CMS NPPES public registry.