MARY GRACE BOOKMYER PA-C
NPI 1679386023
Physician Assistant in Fort Wayne, IN

Q: What is Mary Grace Bookmyer's NPI number?

The NPI number for Mary Grace Bookmyer is 1679386023. It was assigned to this individual provider in the NPPES registry on January 29, 2025.

Q: What is Mary Grace Bookmyer's specialty?

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

Active since January 29, 2025PECOS EnrolledAccepts Medicare Assignment

1721 MAGNAVOX WAY, FORT WAYNE, IN 46804(260) 748-3650 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Grace Bookmyer Pa-c NPPES

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

MARY GRACE BOOKMYER PA-C (NPI 1679386023) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10004720A) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679386023

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY GRACE BOOKMYERCredential: PA-C

Location Address1721 MAGNAVOX WAYFort Wayne, IN 46804-1537

Mailing Address11512 Tall Oak RunFort Wayne, IN 46845-8604 · (260) 425-0096

Phone(260) 748-3650

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 29, 2025

NPPES CertifiedJanuary 29, 2025

✔ NPI 1679386023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10004720A

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.

1721 MAGNAVOX WAY, Fort Wayne, IN 46804

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mary Grace Bookmyer Pa-c 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 ID6901320258

PECOS Enrollment IDI20250408001580

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.

Hospital Affiliations CMS Care Compare 2

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

Marion General Hospital

Acute Care Hospitals · Marion, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150011

Location441 N Wabash AveMarion, IN 46952 · Grant County

Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 14

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

DR. JARED COFFMAN MD

Pain Medicine (Interventional Pain Medicine)