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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: October 18, 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, is affiliated with Hazard Arh Regional Medical Center, 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
Phone(606) 436-0711
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jenna Boothe reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mountain After Hours Clinic Psc
2.0 mi
Rural Health
1908 N MAIN ST, SUITE 120
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 68 clinicians in this Medicare group
NPI 1477638880 (606) 439-2662
Robert Hoskins, PLLC
11 mi
Physician Assistant
22055 MAIN STREET, STE 101
Hyden, KY 41749
  • Reassigned Medicare billing, Kentucky enrollment
  • 21 clinicians in this Medicare group
NPI 1558372771 (606) 672-7425
Brock Medical, LLC
52 mi
Nurse Practitioner
1752 HIGHWAY 192 W, SUITE 1
London, KY 40741
  • Reassigned Medicare billing, Kentucky enrollment
  • 362 clinicians in this Medicare group
NPI 1023379815 (606) 330-0055
Fast Pace Kentucky PLLC
190 mi
Family
1475 NASHVILLE RD
Franklin, KY 42134
  • Reassigned Medicare billing, Kentucky enrollment
  • 427 clinicians in this Medicare group
NPI 1457716706 (270) 813-1111
Upperline Healthcare, PC
335 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Kentucky enrollment
  • 270 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

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.

CHELSEA WALKER APRN
Nurse Practitioner (Family)
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Perry County (606) 436-0711
SHAWN COMPTON APRN
Nurse Practitioner (Family)
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Perry County (606) 436-0711
KRISTY GODSEY APRN
Nurse Practitioner (Family)
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Perry County (606) 436-0711
MR. BRIAN KEITH CATRON APRN
Nurse Practitioner (Family)
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Perry County (606) 436-0711
APRIL N RATLIFF DO
Family Medicine
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Perry County (606) 436-0711
LAUREN BATES APRN
Nurse Practitioner (Psychiatric/Mental Health)
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Perry County (606) 436-0711
BRITTANY LEEANNA GIBSON APRN
Nurse Practitioner (Family)
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Perry County (606) 436-0711
ROBIN WHITAKER DO
Family Medicine
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701
Perry County (606) 436-0711

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 Jenna Boothe's NPI number?

The NPI number for Jenna Boothe is 1720583495. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Jenna Boothe located?

Jenna Boothe practices at 210 Black Gold Blvd Ste 106, Hazard, KY 41701. The listed phone number is (606) 436-0711.

What is Jenna Boothe's specialty?

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

Is Jenna Boothe enrolled in Medicare?

Yes. Jenna Boothe 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 organizations bill Medicare for Jenna Boothe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Boothe reassigns Medicare benefits to 5 organizations: Mountain After Hours Clinic Psc (Hazard, KY), Robert Hoskins, PLLC (Hyden, KY), Brock Medical, LLC (London, KY), Fast Pace Kentucky PLLC (Franklin, KY) and Upperline Healthcare, PC (Hoover, AL). Each 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 Jenna Boothe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenna Boothe accept?

Health plans from Anthem Blue Cross and Blue Shield list Jenna Boothe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jenna Boothe affiliated with any hospitals?

According to CMS data, Jenna Boothe is affiliated with Hazard Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jenna Boothe was last updated on March 26, 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.