MARLEE BOOTY NP
NPI 1306445069
Nurse Practitioner - Acute Care in Mccomb, MS

Q: What is Marlee Booty's NPI number?

The NPI number for Marlee Booty is 1306445069. It was assigned to this individual provider in the NPPES registry on October 22, 2020. The provider is also known as Marlee Malcom.

Q: What is Marlee Booty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Marlee Booty was last updated on July 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 22, 2020PECOS Enrolled

1501 ASTON AVE, MCCOMB, MS 39648(601) 249-5510(601) 249-4242 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2023, Dec 15, 2022, Nov 11, 2022 and 2 more (5 updates tracked since 2020).

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About Marlee Booty Np NPPES

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

MARLEE BOOTY NP (NPI 1306445069) is an individual acute care provider in Mccomb, Mississippi, licensed in Mississippi (905595) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with King's Daughters Medical Center-brookhaven, and maintains a secondary practice location in Mccomb.

NPPES Registry Identity

NPI1306445069

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMARLEE BOOTYCredential: NP

Location Address1501 ASTON AVEMccomb, MS 39648-2734

Mailing Address1592 P P Wilson RdOsyka, MS 39657-8162 · (706) 818-1491

Phone(601) 249-5510

Fax(601) 249-4242

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 22, 2020

Last NPPES UpdateJuly 19, 20235 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1306445069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MS · 905595

Also ListedRegistered NurseTaxonomy 163W00000X · License 284922 (GA)

Also ListedClinic/Center · OncologyTaxonomy 261QX0200X · License 905595 (MS)

1501 ASTON AVE, Mccomb, MS 39648

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Other Names 1

Former Name (1)Marlee Malcom

Secondary Practice Location 1

Location 1215 Marion AveMcComb, MS 39648-2705 · Phone (601) 249-5510

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlee Booty Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002284965

PECOS Enrollment IDI20221125000420

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

481 services303 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters Medical Center-Brookhaven

Acute Care Hospitals · Brookhaven, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250057

Location427 Highway 51 NorthBrookhaven, MS 39601 · Lincoln County

Emergency services Birthing friendly

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250097

Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39648 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN NUCKLES GRAY FNP-C

Nurse Practitioner (Family)