Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elise J Booth, FNP-C

Individual provider Family Nurse Practitioner · NPI 1104396498

Elise J Booth, FNP-C is a Nurse Practitioner in Fort Collins, Colorado. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
8
Licensed in
CO
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2244 E Harmony Rd Ste 110
Fort Collins, CO 80528-3422
Phone: (970) 658-5115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0994183 (CO)

Record details

NPI number1104396498
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 28, 2018
Last updated in NPPESNovember 28, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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