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MATTHEW JAY BOUTIN
NPI 1104690064
Nurse Practitioner - Psychiatric/Mental Health in Tucson, AZ

Active since November 10, 2023PECOS EnrolledAccepts Medicare Assignment
6445 E 42ND ST, TUCSON, AZ 85730(520) 603-4286 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Matthew Jay Boutin NPPES

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

MATTHEW JAY BOUTIN (NPI 1104690064) is an individual psychiatric/mental health provider in Tucson, Arizona, licensed in Arizona (RN156068) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104690064
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMATTHEW JAY BOUTIN
Location Address6445 E 42ND STTucson, AZ 85730-3603
Mailing Address6445 E 42nd StTucson, AZ 85730-3603 · (520) 603-4286
Phone(520) 603-4286
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 10, 2023
NPPES CertifiedNovember 10, 2023
✔ NPI 1104690064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · RN156068
6445 E 42ND ST, Tucson, AZ 85730
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Jay Boutin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941644363
PECOS Enrollment IDI20240214000001
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Boutin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Codac Health Recovery And Wellness
4.2 mi
Multi-Specialty
4585 E SPEEDWAY BLVD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 46 clinicians in this Medicare group
NPI 1649911157 (520) 327-4505
Connections Southernaz, LLC
4.5 mi
Adult Mental Health
2802 E DISTRICT ST FL 2
Tucson, AZ 85714
  • Reassigned Medicare billing, Arizona enrollment
  • 37 clinicians in this Medicare group
NPI 1821755141 (520) 301-2400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85730 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Boutin's NPI number?

The NPI number for Matthew Boutin is 1104690064. It was assigned to this individual provider in the NPPES registry on November 10, 2023.

Where is Matthew Boutin located?

Matthew Boutin practices at 6445 E 42nd St, Tucson, AZ 85730. The listed phone number is (520) 603-4286.

What is Matthew Boutin's specialty?

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

Is Matthew Boutin enrolled in Medicare?

Yes. Matthew Boutin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Matthew Boutin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Boutin reassigns Medicare benefits to 2 organizations: Codac Health Recovery And Wellness (Tucson, AZ) and Connections Southernaz, LLC (Tucson, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Boutin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Boutin accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Matthew Boutin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Boutin was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.