MS. NANCY E BOUTIN PMHNP
NPI 1063177004
Nurse Practitioner - Psychiatric/Mental Health in Woburn, MA

Q: What is Nancy Boutin's NPI number?

The NPI number for Nancy Boutin is 1063177004. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Q: What is Nancy Boutin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Boutin was last updated on March 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 04, 2021PECOS Enrolled

12 ALFRED ST STE 200, WOBURN, MA 01801(781) 646-0500 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Nancy E Boutin Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NANCY E BOUTIN PMHNP (NPI 1063177004) is an individual psychiatric/mental health provider in Woburn, Massachusetts, licensed in Massachusetts (RN2277518) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lowell.

NPPES Registry Identity

NPI1063177004

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. NANCY E BOUTINCredential: PMHNP

Location Address12 ALFRED ST STE 200Woburn, MA 01801-1915

Mailing Address255 4th AveLowell, MA 01854-2442 · (978) 502-1302

Phone(781) 646-0500

Sole ProprietorNo

Enumeration DateNovember 4, 2021

Last NPPES UpdateMarch 21, 2022

NPPES CertifiedFebruary 2, 2022

✔ NPI 1063177004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MA · RN2277518

Also ListedRegistered NurseTaxonomy 163W00000X · License RN2277518 (MA)

12 ALFRED ST STE 200, Woburn, MA 01801

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Secondary Practice Location 1

Location 1255 4th AveLowell, MA 01854-2442 · Phone (978) 502-1302

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nancy E Boutin Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELI SPECTOR PSY.D.

Psychologist (Clinical)