MR. JASON GLENN BOUTWELL (APRN) – Family Nurse Practitioner, NPI 1184281982
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MR. JASON GLENN BOUTWELL (APRN)
7120 CARAWAY LN
SOUTHPORT, FL 324091605
Phone: (850) 814-5547
Type: Mailing
2216 Hammock Square Dr Unit 206
Lynn Haven, FL 324447618
Phone: (850) 814-5547
Fax: (850) 248-2469
Type: Location
40 S MAIN ST STE 1300
MEMPHIS, TN 381035513
Phone: (866) 949-0108
Type: Mailing
40 S MAIN ST S STE 1300
MEMPHIS, TN 381035513
Phone: (866) 949-0108
Type: Location
PO BOX 62
LYNN HAVEN, FL 324440062
Phone: (850) 814-5547
Fax: (850) 248-2468
Type: Mailing
1847 FLORIDA AVE
PANAMA CITY, FL 324054640
Phone: (850) 640-1416
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $130.
Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.
Last reported payment date: 2023-08-10 • Largest payer in this snapshot: Melinta Therapeutics, LLC ($115).
Total Amount
$130
General + Research + Ownership
Payments
2
Total payment records
General Amount
$130
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Melinta Therapeutics, LLC | $115 |
| KCI USA, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191203002172 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2,862 | 563 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,374 | 569 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 31 | 25 | $0 |
| 99407 | Smoking and tobacco use intensive counseling, more than 10 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 32409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physical Medicine And Rehabilitation | SD |
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