MISS MARY ADU BOATEMAA
NPI 1306122411
Nurse Practitioner - Psychiatric/Mental Health in Columbus, OH

Active since November 02, 2011PECOS EnrolledAccepts Medicare Assignment
1430 S HIGH ST, COLUMBUS, OH 43207(614) 599-0564 Get Directions Write a Review

NPPES record last updated: January 1, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 1, 2025, Dec 23, 2024, Apr 14, 2020 (3 updates tracked since 2020).

About Miss Mary Adu Boatemaa NPPES

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

MISS MARY ADU BOATEMAA (NPI 1306122411) is an individual psychiatric/mental health provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.0038309) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306122411
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISS MARY ADU BOATEMAA
Location Address1430 S HIGH STColumbus, OH 43207-1045
Mailing Address5666 Kingship LoopColumbus, OH 43231-3009 · (614) 599-0564
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 2, 2011
Last NPPES UpdateJanuary 1, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2025
✔ NPI 1306122411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0038309
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.436394 (OH)
1430 S HIGH ST, Columbus, OH 43207

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Mary Adu Boatemaa 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 ID840763058
PECOS Enrollment IDI20260629000412
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Boatemaa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2100 MIDWAY ST # 3722
Columbus, IN 47201
  • Reassigned Medicare billing, Ohio enrollment
  • 98 clinicians in this Medicare group
Adult Medicine
8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410
  • Reassigned Medicare billing, Ohio enrollment
  • 134 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43207 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Home Health
1430 S HIGH ST
COLUMBUS, OH 43207
Physical Medicine & Rehabilitation
1430 S HIGH ST
COLUMBUS, OH 43207
Public Health or Welfare
1430 S HIGH ST
COLUMBUS, OH 43207
Chiropractor (Rehabilitation)
1430 S HIGH ST
COLUMBUS, OH 43207
Counselor (Addiction (Substance Use Disorder))
1430 S HIGH ST
COLUMBUS, OH 43207
Registered Nurse
1430 S HIGH ST
COLUMBUS, OH 43207
Registered Nurse
1430 S HIGH ST
COLUMBUS, OH 43207
Physician Assistant
1430 S HIGH ST
COLUMBUS, OH 43207

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 Mary Boatemaa's NPI number?

The NPI number for Mary Boatemaa is 1306122411. It was assigned to this individual provider in the NPPES registry on November 2, 2011.

Where is Mary Boatemaa located?

Mary Boatemaa practices at 1430 S High St, Columbus, OH 43207. The listed phone number is (614) 599-0564.

What is Mary Boatemaa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Boatemaa enrolled in Medicare?

Yes. Mary Boatemaa 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.

Which organizations bill Medicare for Mary Boatemaa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Boatemaa reassigns Medicare benefits to 2 organizations: Eventus Wholehealth Midwest Inc (Columbus, IN) and Extended Care Specialists, Inc (Merrillville, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Boatemaa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Boatemaa accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Boatemaa 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 Mary Boatemaa was last updated on January 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.