Amanda Lynn Boutin, FNP-C - Medicare Nurse Practitioner in Walpole, MA

Amanda Lynn Boutin, FNP-C is a medicare enrolled "Nurse Practitioner" in Walpole, Massachusetts. Her current practice location is 103 Providence Hwy, Walpole, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 255-0500.

Amanda Lynn Boutin is licensed to practice in Massachusetts (license number RN2343792) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205691029.

Contact Information

Amanda Lynn Boutin, FNP-C
103 Providence Hwy,
Walpole, MA 02032
(781) 255-0500
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Lynn Boutin
GenderFemale
SpecialityNurse Practitioner
Location103 Providence Hwy, Walpole, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205691029
  • Provider Enumeration Date: 02/20/2024
  • Last Update Date: 02/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8325487051
  • Enrollment ID: I20240415002299

Medical Identifiers

Medical identifiers for Amanda Lynn Boutin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205691029NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN2343792 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Lynn Boutin allows following entities to bill medicare on her behalf.
Entity NameWoonsocket Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881929586
PECOS PAC ID: 1951305168
Enrollment ID: O20100716000220
Entity NameWoonsocket Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437628385
PECOS PAC ID: 1951305168
Enrollment ID: O20190214001977

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Lynn Boutin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Lynn Boutin, FNP-C
751 Lansdowne Way Apt 206,
Norwood, MA 02062-2927

Ph: (908) 966-1732
Amanda Lynn Boutin, FNP-C
103 Providence Hwy,
Walpole, MA 02032

Ph: (781) 255-0500

Reviews and Comments


Nurse Practitioner Nurses in Walpole, MA

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Phone: 508-660-1200    
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Practice Location: 111 Norfolk St, Walpole, MA 02081
Phone: 508-660-1200    Fax: 508-660-1209
Matthew Peculis, PMHNP
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Practice Location: 1600 Providence Hwy Unit 167, Walpole, MA 02081
Phone: 508-660-7949    
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Medicare: Not Enrolled in Medicare
Practice Location: 420 Main St Ste 15, Walpole, MA 02081
Phone: 508-660-1666    Fax: 508-660-1667

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.