ANGELA BOUTON FNP-C
NPI 1245972215
Nurse Practitioner in Wall Township, NJ

Q: What is Angela Bouton's NPI number?

The NPI number for Angela Bouton is 1245972215. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Q: What is Angela Bouton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Bouton was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 April 11, 2022PECOS Enrolled

3350 STATE ROUTE 138 STE 117, WALL TOWNSHIP, NJ 07719(732) 280-2727 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2024, Oct 11, 2022, Apr 11, 2022 (3 updates tracked since 2022).

On this page

About Angela Bouton Fnp-c NPPES

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

ANGELA BOUTON FNP-C (NPI 1245972215) is an individual nurse practitioner in Wall Township, New Jersey, licensed in New Jersey (26NJ01325000) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245972215

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANGELA BOUTONCredential: FNP-C

Location Address3350 STATE ROUTE 138 STE 117Wall Township, NJ 07719-9694

Mailing Address3350 State Route 138 Ste 117Wall Township, NJ 07719-9694 · (732) 280-2727

Phone(732) 280-2727

Sole ProprietorNo

Enumeration DateApril 11, 2022

Last NPPES UpdateJuly 17, 20253 updates tracked since enumeration

NPPES CertifiedJuly 17, 2025

✔ NPI 1245972215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NJ · 26NJ01325000

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 26NJ01325000 (NJ)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ01325000 (NJ)

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 26NJ01325000 (NJ)

Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X · License 26NJ01325000 (NJ)

3350 STATE ROUTE 138 STE 117, Wall Township, NJ 07719

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Bouton Fnp-c 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 Reassignment

Medicare enrollment records show Angela Bouton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vanitha Yadalla MD LLC

Same address

Internal Medicine

3350 RTE 138 STE 117
Wall Township, NJ 07719

Reassigned Medicare billing, New Jersey enrollment
2 clinicians in this Medicare group

NPI 1477919710 (732) 280-2727

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 07719 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

Other Providers at the Same Location NPPES

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

VANITHA YADALLA MD LLC

Internal Medicine

3350 STATE ROUTE 138 STE 117
WALL TOWNSHIP, NJ 07719

Monmouth County (732) 280-2727

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 Angela Bouton's NPI number?

The NPI number for Angela Bouton is 1245972215. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Angela Bouton located?

Angela Bouton practices at 3350 State Route 138 Ste 117, Wall Township, NJ 07719. The listed phone number is (732) 280-2727.

What is Angela Bouton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Angela Bouton enrolled in Medicare?

Yes. Angela Bouton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Bouton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Bouton reassigns Medicare benefits to Vanitha Yadalla MD LLC (Wall Township, NJ). The 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 Angela Bouton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angela Bouton was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.