MICHELLE LYNNE BOOTH FNP
NPI 1457831042
Nurse Practitioner - Family in Newport Beach, CA

Active since August 14, 2018PECOS EnrolledAccepts Medicare Assignment
1 HOAG DR, NEWPORT BEACH, CA 92663(949) 689-6210 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michelle Lynne Booth Fnp NPPES

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

MICHELLE LYNNE BOOTH FNP (NPI 1457831042) is an individual family provider in Newport Beach, California, licensed in California (95009318) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457831042
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE LYNNE BOOTHCredential: FNP
Location Address1 HOAG DRNewport Beach, CA 92663-4162
Mailing Address33895 Cape CvDana Point, CA 92629-4501 · (949) 689-6210
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 14, 2018
✔ NPI 1457831042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95009318
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95009318 (CA)
1 HOAG DR, Newport Beach, CA 92663

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

Michelle Lynne Booth Fnp 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 ID3779006051
PECOS Enrollment IDI20250327000997
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 Reassignment

Medicare enrollment records show Michelle Booth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
510 SUPERIOR AVE
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
  • 529 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 92663 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

Anesthesiology
1 HOAG DR, DEPT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663
Hospitalist
1 HOAG DR
NEWPORT BEACH, CA 92663
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1 HOAG DR
NEWPORT BEACH, CA 92663
Dietitian, Registered
1 HOAG DR
NEWPORT BEACH, CA 92663
Hospitalist
1 HOAG DR
NEWPORT BEACH, CA 92663
Hospitalist
1 HOAG DR
NEWPORT BEACH, CA 92663
Dietitian, Registered
1 HOAG DR
NEWPORT BEACH, CA 92663
Internal Medicine (Gastroenterology)
1 HOAG DR
NEWPORT BEACH, CA 92663

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 Michelle Booth's NPI number?

The NPI number for Michelle Booth is 1457831042. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Michelle Booth located?

Michelle Booth practices at 1 Hoag Dr, Newport Beach, CA 92663. The listed phone number is (949) 689-6210.

What is Michelle Booth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Booth enrolled in Medicare?

Yes. Michelle 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.

Which organization bills Medicare for Michelle Booth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Booth reassigns Medicare benefits to Hoag Clinic (Newport Beach, CA). The 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 Michelle Booth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Booth was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.