Nurse Practitioner, Family
CARRIE BOOTS N.P.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1003012352 · enumerated 2007-06-25 · record updated 2025-05-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: CARRIE BALLER
Addresses and phones
- Practice location 7910 W JEFFERSON BLVD STE 108, FORT WAYNE, IN, 46804-4159 (260) 484-8830 Fax (260) 483-1911 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 749495, ATLANTA, GA, 30374-9495 (855) 963-2100 Fax (239) 236-2775 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · License 71002416A IN
- Nurse Practitioner, Adult Health 363LA2200X · License 71002416A IN
- Nurse Practitioner, Family 363LF0000X · Primary · License 71002416A IA
In this directory
Locations and evidence
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Practice location
FORT WAYNE, IN, 468044159
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.