JAMIE SUE BOUTIN – Family Nurse Practitioner, NPI 1023630266

JAMIE SUE BOUTIN is a healthcare provider. based in Buxton, Maine. specializing in NURSE PRACTITIONER. They hold a License No. CNP201088 (ME). The NPI Number for JAMIE SUE BOUTIN is 1023630266

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE SUE BOUTIN
NPI
1023630266
Phone
(207) 332-0038
Address
273 JOY VALLEY RD
Enumeration Date
11 May 2020
Last Update Date
9 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2076211000
Graduation Year
2020 (6 years ago)
PAC ID
8426472432
Group Practice PAC ID
1254245715
Professional Enrollment ID
I20200723001869
Address ID
ME043308160AU35XXXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,869 NURSE PRACTITIONER in ME

Provider Addresses for JAMIE SUE BOUTIN

  • 273 JOY VALLEY RD

    BUXTON, ME 040936234

    Phone: (207) 332-0038

    Type: Mailing

  • 35 MEDICAL CENTER PKWY

    AUGUSTA, ME 043308160

    Phone: (207) 626-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($64).

Total Amount

$64

General + Research + Ownership

Payments

4

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-07-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200723001869INurse PractitionerMETBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes9123$0
99497Advance care planning, first 30 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 04093)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254245715View full group profile

Reviews

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Frequently asked questions

Does JAMIE SUE BOUTIN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JAMIE SUE BOUTIN uses 1023630266.
Can I rely on JAMIE SUE BOUTIN being an active provider?
As of the registry snapshot, JAMIE SUE BOUTIN is marked active.
What taxonomy line describes JAMIE SUE BOUTIN?
For research purposes, treat JAMIE SUE BOUTIN as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is JAMIE SUE BOUTIN based?
JAMIE SUE BOUTIN is tied to Buxton, Maine in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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