MRS. JENNIFER R BOUTWELL FNP
NPI 1184958969
Nurse Practitioner - Acute Care in Mccomb, MS

Q: What is Jennifer Boutwell's NPI number?

The NPI number for Jennifer Boutwell is 1184958969. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Q: What is Jennifer Boutwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Boutwell was last updated on September 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 25, 2009PECOS Enrolled

303 MARION AVE, MCCOMB, MS 39648(601) 249-1350(601) 249-1339 Get Directions Write a Review

NPPES record last updated: September 25, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Jennifer R Boutwell Fnp NPPES

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

MRS. JENNIFER R BOUTWELL FNP (NPI 1184958969) is an individual acute care provider in Mccomb, Mississippi, licensed in Mississippi (R880925) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184958969

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. JENNIFER R BOUTWELLCredential: FNP

Location Address303 MARION AVEMccomb, MS 39648-2707

Mailing Address303 Marion AveMccomb, MS 39648-2707 · (601) 249-1350 · Fax (601) 249-1339

Phone(601) 249-1350

Fax(601) 249-1339

Sole ProprietorYes

Enumeration DateSeptember 25, 2009

✔ NPI 1184958969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MS · R880925

303 MARION AVE, Mccomb, MS 39648

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer R Boutwell Fnp 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.

Medicare Billing Reassignments

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

Kings Daughters Medical Center

22 mi

Anesthesiology

427 HIGHWAY 51 N
Brookhaven, MS 39601

Reassigned Medicare billing, Mississippi enrollment
153 clinicians in this Medicare group

NPI 1043245368 (601) 835-9275

Covington County Hospital

58 mi

Rural Health

1039 HIGHWAY 42 STE C
Sumrall, MS 39482

Reassigned Medicare billing, Mississippi enrollment
69 clinicians in this Medicare group

NPI 1659995538 (601) 765-6711

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 39648 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$62.19 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$33.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DR. CARL R FEIND MD

Internal Medicine (Interventional Cardiology)