Individual provider Active NPI

Ashley Aren Smith-Boutin, NP, R.N.

  • Primary Care Nurse Practitioner
  • Groton, MA
National Provider Identifier
1073922464
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2284089 Issued in MA
Practice address
100 Boston Rd
Groton, MA 01450-1879
Phone
(978) 448-4300
Fax
(978) 448-4040
NPI assigned
Aug 11, 2014
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN2284089 MA Primary
Women's Health Nurse Practitioner 363LW0102X RN2284089 MA
Registered Nurse 163W00000X RN2284089 MA

Addresses

Primary practice location

100 Boston Rd
Groton, MA 01450-1879

Mailing address

100 Boston Rd
Groton, MA 01450-1879
Phone (978) 448-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180510000774 MA Practitioner - Nurse Practitioner 5092079418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acton Medical Associates PCGroup PAC ID 7315919404, 34 clinicians

Practice addresses (Care Compare)

321 Main St
Acton, MA 01720-3718
Phone (978) 635-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as group
Quality
86.03
Promoting interoperability
99
Improvement activities
40
Cost
71.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2284089MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acton Medical Associates, PC CurrentSince Feb 28, 2022 Accepting new patients
Groton Medical Associates PastSince May 4, 2020 Accepting new patients

Locations

321 Main St
Acton, MA 01720
Phone (978) 263-1131

45 Discovery Way
Acton, MA 01720

Interoperability endpoints

  • Direct secure messaging: ashley.smithboutin@amapc1.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBBCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1073922464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BOSTON RD",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501879",
            "telephone_number": "978-448-4300",
            "fax_number": "978-448-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOSTON RD",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501879",
            "telephone_number": "978-448-4300",
            "fax_number": "978-448-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-BOUTIN",
        "first_name": "ASHLEY",
        "middle_name": "AREN",
        "credential": "NP, R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2284089",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2284089",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2284089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, MA

Sources for this page

Verify at the official NPI Registry.