AMY LINNEA BOUTELLE RN, WHNP
NPI 1609117704
Nurse Practitioner - Obstetrics & Gynecology in San Diego, CA
About Amy Linnea Boutelle Rn, Whnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY LINNEA BOUTELLE RN, WHNP (NPI 1609117704) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (NP95000140) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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
Amy Linnea Boutelle Rn, Whnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Amy Boutelle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 171 clinicians in this Medicare group
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 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Amy Boutelle's NPI number?
The NPI number for Amy Boutelle is 1609117704. It was assigned to this individual provider in the NPPES registry on March 14, 2013.
Where is Amy Boutelle located?
Amy Boutelle practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.
What is Amy Boutelle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.
Is Amy Boutelle enrolled in Medicare?
Yes. Amy Boutelle 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 organization bills Medicare for Amy Boutelle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Boutelle reassigns Medicare benefits to Regents Of The University Of California (San Diego, CA). 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 Amy Boutelle'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 Amy Boutelle was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Amy Linnea Boutelle, RN, WHNP · NPI 1609117704
Obstetrics & Gynecology physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 14, 2013.
## Identity
- **NPI:** 1609117704 (Entity type: Individual)
- **Enumerated:** March 14, 2013
- **Primary specialty:** Nurse Practitioner - Obstetrics & Gynecology · taxonomy 363LX0001X
- **State license:** NP95000140 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 W ARBOR DR, San Diego, CA 92103
- **Phone:** (800) 926-8273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Regents Of The University Of California (NPI 1174626618, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1609117704) · Data from the CMS NPPES public registry.