JENNA BOUTILIER (NP) – Nurse Practitioner, NPI 1154657443

JENNA BOUTILIER (NP) is a healthcare provider. based in Manville, Rhode Island. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. NPP37529 (RI). The NPI Number for JENNA BOUTILIER (NP) is 1154657443

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JENNA BOUTILIER (NP)
NPI
1154657443
Phone
(800) 927-0002
Address
PO BOX 27
Enumeration Date
22 October 2009
Last Update Date
22 October 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4016581197
Graduation Year
2009 (17 years ago)
PAC ID
2163563347
Group Practice PAC ID
7315226990
Professional Enrollment ID
I20100111000146
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for JENNA BOUTILIER (NP)

  • Manville, Somerset County, New Jersey, 08835, United States

    MANVILLE, RI 028380027

    Phone: (800) 927-0002

    Type: Mailing

  • Nate Whipple Highway, Arnold Mills, Cumberland, Providence County, Rhode Island, 02838, United States

    SUITE 101

    CUMBERLAND, RI 028641403

    Phone: (401) 658-2020

    Fax: (401) 658-3612

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02838)

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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: 7315226990View full group profile
NameSpecialtyState
KRISTIN MEEGAN OBRIEN
-RI

Reviews

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Frequently asked questions

What is JENNA BOUTILIER (NP)'s NPI number?
JENNA BOUTILIER (NP)'s NPI is 1154657443 — the number used across U.S. healthcare to identify this provider.
Would JENNA BOUTILIER (NP) appear as active to a payer?
You can treat JENNA BOUTILIER (NP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JENNA BOUTILIER (NP)?
JENNA BOUTILIER (NP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JENNA BOUTILIER (NP) located near Manville?
JENNA BOUTILIER (NP) currently maps to Manville, Rhode Island in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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