ANGELA LYNN BOOTH PA
NPI 1174971600
Physician Assistant in Wilmington, NC

Active since May 25, 2016PECOS EnrolledAccepts Medicare Assignment
615 SHIPYARD BLVD, WILMINGTON, NC 28412(910) 343-0145(910) 202-9966 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2022, Oct 29, 2020, Oct 15, 2018 and 4 more (7 updates tracked since 2017).

About Angela Lynn Booth Pa NPPES

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

ANGELA LYNN BOOTH PA (NPI 1174971600) is an individual physician assistant in Wilmington, North Carolina, licensed in North Carolina (001007254) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rocky Point, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174971600
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANGELA LYNN BOOTHCredential: PA
Location Address615 SHIPYARD BLVDWilmington, NC 28412-6431
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145 · Fax (910) 202-9966
Fax(910) 202-9966
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 25, 2016
Last NPPES UpdateMay 4, 20227 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
NPI 1174971600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 001007254
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 001007254 (NC)
615 SHIPYARD BLVD, Wilmington, NC 28412

Secondary Practice Location 1

Location 17910 US Hwy 117 SRocky Point, NC 28457-9431 · Phone (910) 259-0668

Other Identifiers 2

Medicaid1174971600NC
Medicaid3542PASC

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

Angela Lynn Booth Pa 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 ID4789970781
PECOS Enrollment IDI20171027001459
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 28412 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Psychologist (Prescribing (Medical))
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412

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 Angela Booth's NPI number?

The NPI number for Angela Booth is 1174971600. It was assigned to this individual provider in the NPPES registry on May 25, 2016.

Where is Angela Booth located?

Angela Booth practices at 615 Shipyard Blvd, Wilmington, NC 28412. The listed phone number is (910) 343-0145.

What is Angela Booth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Angela Booth enrolled in Medicare?

Yes. Angela 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.

What insurance does Angela Booth accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Angela Booth 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.

When was this NPI record last updated?

The NPPES record for Angela Booth was last updated on May 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.