Active NPI 1316991557 Individual Practitioner Female Practitioner

Jacqulyne S Booker , ANP

Nurse Practitioner • Bloomington, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacqulyne Booker, ANP is a certified Nurse Practitioner practicing in Bloomington, IN. With approximately 22 years of clinical experience since completing medical education in 2004, Jacqulyne Booker delivers high-quality medical care to the local community at 995 S CLARIZZ BLVD.

Jacqulyne Booker maintains professional affiliations with Iu Health Medical Group Llc, Indiana University Health Southern Indiana Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

995 S Clarizz Blvd

Bloomington, IN 474015588

Telephone 8123533060

Fax 8123533070

Associated Practice Facility / Clinic

🏢 Indiana University Health Southern Indiana Physicians, Inc Facility NPI 1548519572

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bloomington, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +9.3 yrs vs City Avg

City Avg: 12.7 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

44 Specialists

Practicing in Bloomington, IN (2620 Statewide)

Telehealth Adoption Rate

4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Booker (22 Years) 22 Yrs

Bloomington Specialty Average (12.7 Years) 12.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	43	41	$14.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$127.00	$71.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$183.00	$100.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	95	$132.00	$98.17
36415 Insertion of needle into vein for collection of blood sample	95	77	$12.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	62	54	$87.00	$60.82
83036 Hemoglobin A1C level	36	28	$40.00	$9.52
G0008 Administration of influenza virus vaccine	34	34	$36.00	$28.63
90662 Influenza vaccine split virus, preservative free	33	33	$83.00	$71.42
G0009 Administration of pneumococcal vaccine	16	16	$25.00	$24.50
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$426.00	$281.60
80061 Blood test, lipids (cholesterol and triglycerides)	14	14	$50.00	$13.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	96	$132.00	$101.05
36415 Insertion of needle into vein for collection of blood sample	69	57	$12.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	52	47	$87.00	$67.53
83036 Hemoglobin A1C level	30	28	$40.00	$9.59
G0008 Administration of influenza virus vaccine	29	28	$36.00	$27.34
90662 Influenza vaccine split virus, preservative free	26	25	$83.00	$68.01
80061 Blood test, lipids (cholesterol and triglycerides)	25	23	$50.00	$13.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	15	$49.00	$18.25
G0009 Administration of pneumococcal vaccine	16	16	$24.25	$23.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	185	130	$12.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	120	$132.00	$103.69
80061 Blood test, lipids (cholesterol and triglycerides)	63	59	$48.81	$13.19
83036 Hemoglobin A1C level	57	49	$37.02	$9.71
99213 Established patient office or other outpatient visit, typically 15 minutes	51	48	$86.29	$71.62
G0008 Administration of influenza virus vaccine	41	41	$36.00	$15.83
90662 Influenza vaccine split virus, preservative free	37	37	$83.16	$65.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$65.92	$44.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	88	$132.00	$87.01
36415 Insertion of needle into vein for collection of blood sample	136	84	$12.00	$2.98
80061 Blood test, lipids (cholesterol and triglycerides)	62	52	$35.00	$13.32
83036 Hemoglobin A1C level	57	44	$27.81	$9.68
99213 Established patient office or other outpatient visit, typically 15 minutes	51	45	$86.00	$59.04
G0008 Administration of influenza virus vaccine	38	38	$36.00	$15.87
90662 Influenza vaccine split virus, preservative free	34	34	$86.00	$60.98
99442 Telephone medical discussion with physician, 11-20 minutes	24	24	$78.67	$57.32
G0009 Administration of pneumococcal vaccine	17	17	$22.00	$15.78
81003 Automated urinalysis test	15	12	$12.00	$2.24
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$116.00	$115.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	175	83	$12.71	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	84	$121.00	$87.05
80061 Blood test, lipids (cholesterol and triglycerides)	63	50	$35.00	$14.58
99213 Established patient office or other outpatient visit, typically 15 minutes	57	41	$77.89	$59.28
83036 Hemoglobin A1C level	54	40	$25.00	$10.57
G0008 Administration of influenza virus vaccine	37	37	$36.00	$15.55
90662 Influenza vaccine split virus, preservative free	33	32	$86.00	$54.73
G0009 Administration of pneumococcal vaccine	30	29	$22.00	$15.55
71046 X-ray of chest, 2 views	19	15	$44.89	$19.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$116.00	$111.23
81003 Automated urinalysis test	16	11	$12.75	$2.44
90670 Pneumococcal vaccine for injection into muscle	12	12	$243.00	$207.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	158	78	$13.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	74	$115.00	$86.29
99213 Established patient office or other outpatient visit, typically 15 minutes	114	64	$75.00	$58.44
90662 Influenza vaccine split virus, preservative free	32	32	$84.03	$52.17
80061 Blood test, lipids (cholesterol and triglycerides)	21	18	$35.00	$16.20
G0009 Administration of pneumococcal vaccine	19	19	$22.00	$19.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$115.00	$93.25
90670 Pneumococcal vaccine for injection into muscle	16	16	$243.00	$197.96
83036 Hemoglobin A1C level	15	15	$25.00	$11.75
71046 X-ray of chest, 2 views	14	13	$42.71	$17.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	143	$115.00	$84.33
36415 Insertion of needle into vein for collection of blood sample	180	150	$13.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	174	138	$75.00	$57.07
85610 Blood test, clotting time	36	18	$20.00	$5.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$60.00	$34.01
G0009 Administration of pneumococcal vaccine	18	18	$22.00	$21.56
81003 Automated urinalysis test	17	12	$15.00	$3.02
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$31.00	$18.65
90670 Pneumococcal vaccine for injection into muscle	14	14	$243.00	$184.74
90662 Influenza vaccine split virus, preservative free	12	12	$77.33	$48.05
83036 Hemoglobin A1C level	12	12	$25.00	$13.05
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$60.00	$12.01

Medical Specialties & State Licenses

CMS Verified: 2020-12-02

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71001863

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Indiana Nurse Practitione

71001863 (IN)

Commercial Insurance / Payer ID Indiana Rn

28085357A (IN)

Hospital & Practice Group Affiliations

Indiana University Health Southern Indiana Physicians Llc

727 W 2nd St, Bloomington, IN 474032209

Phone: 8884843258

Indiana University Health Southern Indiana Physicians Llc

1302 S Rogers St, Bloomington, IN 474034752

Phone: 8884843258

Indiana University Health Southern Indiana Physicians Llc

719 W 2nd St, Bloomington, IN 474032209

Phone: 8884843258

Iu Health Medical Group Llc

1701 N Senate Blvd, Indianapolis, IN 462021239

Phone: 8884843258

Indiana University Health Southern Indiana Physicians Llc

707 W 2nd St, Bloomington, IN 474032209

Phone: 8884843258

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. Mahesh Sreedasyam , MD

Family Medicine

NPI 1003137126

Doctor of Medicine (M.D.)

Daniel Rademacher

Nurse Practitioner

NPI 1073084612

Dr. Miranda Conard , PharmD

Pharmacist - Ambulatory Care

NPI 1114473717

Doctor of Pharmacy (Pharm.D.)

Ursula Penrose , NP

Nurse Practitioner

NPI 1144439506

Nurse Practitioner

Dr. Sarah Hartung , MD

Family Medicine

NPI 1154507978

Doctor of Medicine (M.D.)

Dr. Ryan Niehaus , DO

Family Medicine - Sports Medicine

NPI 1235396045

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active July 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2017

Registered at 995 S CLARIZZ BLVD, BLOOMINGTON, IN 474015588 (Tel: 8123533060)

📍

Updated Business Mailing Address July 20, 2017

Registered at PO BOX 1329, BLOOMINGTON, IN 474021329 (Tel: (812) 353-3087)

👤

Provider Name / Credentials Updated July 20, 2017

Recorded as JACQULYNE BOOKER, ANP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2017

Nurse Practitioner (License #71001863 in IN)

✅

NPI Profile Active December 08, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 08, 2014

Registered at 7 E MAIN ST, GOSPORT, IN 474337034 (Tel: 8128794222)

📍

Updated Business Mailing Address December 08, 2014

Registered at PO BOX 1329, BLOOMINGTON, IN 474021329 (Tel: 8123533087)

👤

Provider Name / Credentials Updated December 08, 2014

Recorded as JACQULYNE BOOKER, ANP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2014

Nurse Practitioner (License #71001863 in IN)

🟢

Initial NPI Registration & Enumeration May 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1316991557

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 20, 2006

Last Update: December 02, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1329

Bloomington, IN 474021329

Phone: 8123533087

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.