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

Mary Ellen Booth, NP

Individual provider Family Nurse Practitioner · NPI 1083232771

Mary Ellen Booth, NP is a Nurse Practitioner in Monroe, Louisiana. Qualified in 2020, 6 years ago. Practices with Baton Rouge Clinic, a Medical Corporation, a 285-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1140 University Ave
Monroe, LA 71209-5702
Phone: (318) 342-1651
Fax: (318) 342-3280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2020 Tower Dr Ste 100, Monroe, LA 71201-5036 — (318) 998-0700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 213927 (LA)

Record details

NPI number1083232771
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 8, 2020
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022
Mailing address130 Desiard St Ste 355, Monroe, LA 71201-7363

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Baton Rouge Clinic, A Medical Corporation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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