JENNA LYNN BOOTHE APRN
NPI 1720583495
Nurse Practitioner - Family in Hazard, KY

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
210 BLACK GOLD BLVD STE 106, HAZARD, KY 41701(606) 436-0711(606) 436-0848 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jenna Lynn Boothe Aprn NPPES

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

JENNA LYNN BOOTHE APRN (NPI 1720583495) is an individual family provider in Hazard, Kentucky, licensed in Kentucky (3012058) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720583495
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNA LYNN BOOTHECredential: APRN
Location Address210 BLACK GOLD BLVD STE 106Hazard, KY 41701-2620
Mailing AddressPo Box 959Hazard, KY 41702-0959 · (606) 436-0711 · Fax (606) 435-1322
Fax(606) 436-0848
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 26, 2018
NPI 1720583495 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 KY · 3012058
210 BLACK GOLD BLVD STE 106, Hazard, KY 41701

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

Jenna Lynn Boothe Aprn 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 ID4284997438
PECOS Enrollment IDI20180420002219
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Nurse Practitioner
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Nurse Practitioner (Family)
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Nurse Practitioner (Family)
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Family Medicine
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Physician Assistant
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Physician Assistant (Medical)
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Nurse Practitioner (Family)
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Family Medicine
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720583495, enumerated as an "individual" on March 26, 2018.

The provider is located at 210 BLACK GOLD BLVD STE 106 HAZARD, KY 41701 and the phone number is (606) 436-0711.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.