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Active NPI 1962483271 Individual Practitioner Male Practitioner

Fred Boothby , CNP

Nurse Practitioner • Allegan, MI

Professional Overview & Biography Verified Profile Summary

Fred Boothby, CNP is a registered healthcare professional specializing in Nurse Practitioner in Allegan, MI. Practice services are available at 3285 122ND AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, psychiatric diagnostic evaluation with medical services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3285 122nd Ave
P.o. Drawer 130

Allegan, MI 490109511

Telephone 2696736617
Fax 2696732738
Associated Practice Facility / Clinic
🏢 Allegan County Cmh Facility NPI 1669720553

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Allegan, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Allegan, MI (3626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
58 34 $117.00 $73.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 19 $144.00 $103.54

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704142595

(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

Medicaid State Provider ID
4699274 (MI)
Commercial Insurance / Payer ID Bcbs
5008704740 (MI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013141662

Licensed Limited Psychologist

Aaron Dortch , LMSW

Social Worker - Clinical

NPI 1023524303

Licensed Master Social Worker

Kimberly Bouchard , RN, AEMT

Registered Nurse - Psychiatric/Mental Health

NPI 1023666096

Registered Nurse, AEMT

NPI 1043699408
Beth Durkee , LMSW

Social Worker

NPI 1053545327

Licensed Master Social Worker

Nancy Burchardt

Registered Nurse

NPI 1083982458

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2008

Registered at 3285 122ND AVE, P.O. DRAWER 130, ALLEGAN, MI 490109511 (Tel: 2696736617)

📍
Updated Business Mailing Address January 18, 2008

Registered at 3285 122ND AVE, P.O. DRAWER 130, ALLEGAN, MI 490109511 (Tel: 2696736617)

👤
Provider Name / Credentials Updated January 18, 2008

Recorded as FRED BOOTHBY, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2008

Nurse Practitioner (License #4704142595 in MI)

🟢
Initial NPI Registration & Enumeration November 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962483271
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2005
Last Update: January 18, 2008
Sole Proprietor: No

Mailing Address

3285 122nd Ave, P.o. Drawer 130

Allegan, MI 490109511

Phone: 2696736617

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.