Mrs Kissley Booker, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Baton Rouge, LA

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Mrs Kissley Booker, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Baton Rouge, Louisiana. Her current practice location is 11764 Haymarket Ave, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 256-5200.

Mrs Kissley Booker is licensed to practice in Louisiana (license number AP08729) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467813931.

Contact Information

Mrs Kissley Booker, MSN, APRN, FNP-C
11764 Haymarket Ave,
Baton Rouge, LA 70816-6009
(225) 256-5200
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kissley Booker
GenderFemale
SpecialityNurse Practitioner - Family
Location11764 Haymarket Ave, Baton Rouge, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467813931
  • Provider Enumeration Date: 03/11/2016
  • Last Update Date: 08/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5395024129
  • Enrollment ID: I20161117001829

Medical Identifiers

Medical identifiers for Mrs Kissley Booker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467813931NPI-NPPES
540405ZSC1OtherLAMEDICARE
2433792MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP08729 (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kissley Booker allows following entities to bill medicare on her behalf.
Entity NameConvenient Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164422630
PECOS PAC ID: 1153306816
Enrollment ID: O20040618000886
Entity NameLouisiana Institute Of Physical Medicine & Family Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780637223
PECOS PAC ID: 0840261152
Enrollment ID: O20040802000920
Entity NameThe Harmony Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902988686
PECOS PAC ID: 6709873052
Enrollment ID: O20091021000106
Entity NameCalcasieu Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467715490
PECOS PAC ID: 5496908071
Enrollment ID: O20130109000768
Entity NameSterlington Critical Access Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679935928
PECOS PAC ID: 4486652385
Enrollment ID: O20130520000548
Entity NameLake Urgent Care Ascension Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912243122
PECOS PAC ID: 0244479095
Enrollment ID: O20130627000023
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210210001575
Entity NameThe Harmony Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982194817
PECOS PAC ID: 6709873052
Enrollment ID: O20220427000604

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kissley Booker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kissley Booker, MSN, APRN, FNP-C
20051 Old Scenic Hwy, Apt 1805,
Zachary, LA 70791-7369

Ph: (225) 306-5737		Mrs Kissley Booker, MSN, APRN, FNP-C
11764 Haymarket Ave,
Baton Rouge, LA 70816-6009

Ph: (225) 256-5200

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.