Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CHLOE BOUTTON PA-C
NPI 1407636830
Physician Assistant - Medical in Plymouth, MI

Active since October 03, 2023PECOS Enrolled
40777 ANN ARBOR RD E, PLYMOUTH, MI 48170(734) 738-2020 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Jan 29, 2026, Aug 22, 2024 and 1 more (4 updates tracked since 2023).

About Chloe Boutton Pa-c NPPES

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

CHLOE BOUTTON PA-C (NPI 1407636830) is an individual medical provider in Plymouth, Michigan, licensed in Michigan (5601013690) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407636830
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCHLOE BOUTTONCredential: PA-C
Location Address40777 ANN ARBOR RD EPlymouth, MI 48170-4448
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (800) 436-7936
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 3, 2023
Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1407636830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in MI · 5601013690 Licensed in PA · OA006685 Licensed in PA · MA065076
40777 ANN ARBOR RD E, Plymouth, MI 48170

Secondary Practice Locations 2

Location 11000 Dutch Ridge RdBeaver, PA 15009-9727 · Phone (877) 771-4847
Location 2575 Coal Valley Rd Ste 300Clairton, PA 15025-3770 · Phone (412) 267-6600 · Fax (412) 267-6281

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Chloe Boutton Pa-c 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 ID42668055
PECOS Enrollment IDI20260210001294
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.

Other Providers at the Same Location NPPES 16

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

Physician Assistant
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Physician Assistant
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Nurse Anesthetist, Certified Registered
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Family Medicine
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Pharmacist (Ambulatory Care)
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Pharmacist (Ambulatory Care)
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Physician Assistant
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Clinic/Center (Ambulatory Surgical)
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170

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 Chloe Boutton's NPI number?

The NPI number for Chloe Boutton is 1407636830. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Where is Chloe Boutton located?

Chloe Boutton practices at 40777 Ann Arbor Rd E, Plymouth, MI 48170. The listed phone number is (734) 738-2020.

What is Chloe Boutton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Chloe Boutton enrolled in Medicare?

Yes. Chloe Boutton 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.

When was this NPI record last updated?

The NPPES record for Chloe Boutton was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.