Jason Glenn Boutwell, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11002476 Issued in FL

Practice address

1847 Florida Ave
Panama City, FL 32405-4640

Phone

(850) 640-1416

NPI assigned

May 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kenny Chantasi DO PLLC 4 clinicians

Arthur D Kalman DO PA 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
• Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23530/brand/1/csg/1/fhir/r4

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

• Arthur D Kalman DO PA

  • Physical Medicine & Rehabilitation Physician
  • Pensacola, FL
  • NPI 1811568199

  FL, Single Specialty

  Medicare reassignment Care Compare group NPD
• B-Well Health and Wellness

  • General Practice Physician
  • Lynn Haven, FL
  • NPI 1023845666

  FL, Single Specialty

  Medicare reassignment NPD Authorized official
• Kenny Chantasi DO PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Orlando, FL
  • NPI 1316740483

  FL, Single Specialty

  Medicare reassignment Care Compare group NPD
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284

  FL, Single Specialty

  Medicare reassignment NPD
• Michael W. Hennigan, P.a.

  • Specialist
  • Panama City, FL
  • NPI 1134391857

  FL, Single Specialty

  Medicare reassignment NPD
• Panama Internal Medicine Associates

  • Specialist
  • Lynn Haven, FL
  • NPI 1508079641
  NPD (past)

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

• Bay County Health System, LLC

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1720078041

  Hospital

  Care Compare affiliation
• Bay Hospital, Inc

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1699721589

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1184281982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324440062",
            "telephone_number": "850-814-5547",
            "fax_number": "850-248-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 FLORIDA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054640",
            "telephone_number": "850-640-1416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2216 Hammock Square Dr Unit 206",
            "address_purpose": "LOCATION",
            "city": "Lynn Haven",
            "state": "FL",
            "postal_code": "324447618",
            "country_code": "US",
            "telephone_number": "850-814-5547",
            "fax_number": "850-248-2469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUTWELL",
        "first_name": "JASON",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnetta J Boring, ARNP
• Cynthia Lorraine Boshelle, LMHC
• Michelle Bosse, MS
• Christine A Bottkol, ARNP-DNP
• Veronica Flavia Bounds, RBT
• Zoe Cassidy Bowden, BCBA
• Susan Bowen, LMHC
• Ashley Nicole Bowers
• Vanita Andrea Bowick
• Craig David Bowlen, LMT

• All providers in Panama City, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.