MRS. BETHANY NICOLE BOOHER FNP
NPI 1639693708
Nurse Practitioner - Family in Johnson City, TN

Q: What is Bethany Booher's NPI number?

The NPI number for Bethany Booher is 1639693708. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Q: What is Bethany Booher's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bethany Booher was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 01, 2017PECOS EnrolledAccepts Medicare Assignment

101 MED TECH PKWY STE 200, JOHNSON CITY, TN 37604(423) 232-6120(833) 450-6025 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Nov 7, 2025, Mar 5, 2024 and 2 more (5 updates tracked since 2017).

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About Mrs. Bethany Nicole Booher Fnp NPPES

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

MRS. BETHANY NICOLE BOOHER FNP (NPI 1639693708) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (22962) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639693708

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. BETHANY NICOLE BOOHERCredential: FNP

Location Address101 MED TECH PKWY STE 200Johnson City, TN 37604-4001

Mailing Address101 Med Tech Pkwy Ste 200Johnson City, TN 37604-4001 · (423) 232-6120 · Fax (833) 450-6025

Phone(423) 232-6120

Fax(833) 450-6025

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 1, 2017

Last NPPES UpdateDecember 2, 20255 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1639693708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 22962

101 MED TECH PKWY STE 200, Johnson City, TN 37604

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Secondary Practice Locations 2

Location 12202 N John B Dennis Hwy Ste 200Kingsport, TN 37660-5918 · Phone (423) 392-6690 · Fax (423) 392-6695

Location 2350 Blountville Hwy Ste 105Bristol, TN 37620-1676 · Phone (423) 797-5505 · Fax (423) 797-4486

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, 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 and accepts Medicare assignment

Mrs. Bethany Nicole Booher 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 ID5092080473

PECOS Enrollment IDI20171011001551

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 6

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.

286 services158 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

80 services80 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

77 services58 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

46 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

45 services37 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

27 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440012

LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County

Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440050

Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County

Emergency services Birthing friendly

Smyth County Community Hospital

Acute Care Hospitals · Marion, VA

OwnershipVoluntary non-profit - Private

CMS Certification Number490038

Location245 Medical Park DriveMarion, VA 24354 · Smyth County

Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490053

Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 10

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

DR. ADAM RICHARD OLSSON MD

Pain Medicine (Pain Medicine)