| Kristin P Boothe, APRN | |
|
2609 New Hartford Rd Ste 3, Owensboro, KY 42303-1316 | |
| (812) 476-7111 | |
| (812) 476-7117 |
| Full Name | Kristin P Boothe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 2609 New Hartford Rd Ste 3, Owensboro, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902118789 | NPI | - | NPPES |
| 12125026 | Other | CAQH | |
| 201006560 | Medicaid | IN | |
| 7100124900 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1114048 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3006532 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 680 |
| Owensboro Health, Inc | 0547154650 | 128 |
| Commonwealth Pain Associates Pllc | 0941441919 | 131 |
| Entity Name | Main Street Family Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528097433 PECOS PAC ID: 2466457593 Enrollment ID: O20060925000325 |
| Entity Name | Commonwealth Pain Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577 |
| Entity Name | Wellington Provider Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457012205 PECOS PAC ID: 8123412459 Enrollment ID: O20220302000270 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin P Boothe, APRN Po Box 21890, Belfast, ME 04915-4115 Ph: (502) 907-0356 | Kristin P Boothe, APRN 2609 New Hartford Rd Ste 3, Owensboro, KY 42303-1316 Ph: (812) 476-7111 |
Kim Ann Harley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2211 Mayfair Dr Ste 102, Owensboro, KY 42301 Phone: 270-688-1351 Fax: 270-688-3342 | |
Mrs. Catherine Elizabeth Bowlds, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-929-5731 | |
Patricia A Koller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Breckenridge St, Owensboro, KY 42303 Phone: 270-685-8230 Fax: 270-685-8233 | |
Calla M Hass, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Triplett St, # A, Owensboro, KY 42303 Phone: 270-686-8500 Fax: 270-685-5467 | |
Kimberly Michelle Gilstrap, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Frederica St, Owensboro, KY 42301 Phone: 270-684-0023 | |
Jennifer Erin Brenner, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 E Parrish Ave Ste 100, Owensboro, KY 42303 Phone: 270-688-1770 | |
Olivia Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3419 Wathens Xing, Owensboro, KY 42301 Phone: 270-313-8426 |