Individual provider Active NPI

Julie A Boutt, M.D.

  • Family Medicine Physician
  • Fort Gratiot, MI
National Provider Identifier
1285749549
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
JB070145 Issued in MI
Practice address
3041 Commerce Dr Ste B
Fort Gratiot, MI 48059-3877
Phone
(810) 432-0500
Fax
(810) 432-0501
NPI assigned
Aug 20, 2006
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X JB070145 MI Primary

Addresses

Primary practice location

3041 Commerce Dr Ste B
Fort Gratiot, MI 48059-3877

Mailing address

3041 Commerce Dr Ste B
Fort Gratiot, MI 48059-3877
Phone (810) 432-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000544 MI Practitioner - Family Practice 8224003827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Family Medicine PLLCGroup PAC ID 9830524941, 2 clinicians

Practice addresses (Care Compare)

3041 Commerce Dr
Suite B
Fort Gratiot, MI 48059-3877
Phone (810) 432-0500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions19
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
JB070145MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Family Medicine PLLC Family Medicine CurrentSince Nov 11, 2019 Accepting new patients
Orion Family Physicians PC Family Medicine Past Accepting new patients

Locations

3041 Commerce Dr
Ste B
Fort Gratiot, MI 48059
Phone (810) 432-0500

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 2

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1285749549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 COMMERCE DR STE B",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593877",
            "telephone_number": "810-432-0500",
            "fax_number": "810-432-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 COMMERCE DR STE B",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593877",
            "telephone_number": "810-432-0500",
            "fax_number": "810-432-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTT",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JB070145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gratiot, MI

Sources for this page

Verify at the official NPI Registry.