Julie A Boutt, M.D.
Individual provider Active NPI Family Medicine Physician · Fort Gratiot, MI
NPI 1285749549 · NPPES record last updated Mar 19, 2026
Key facts
- NPI
- 1285749549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- JB070145 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 PLLC
Practice addresses (Care Compare)
3041 Commerce Dr
Suite B
Fort Gratiot, MI 48059-3877
Phone (810) 432-0500
Hospital & facility affiliations
- Lake Huron Medical Center
- McLaren Port Huron
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 19 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040827000544 | MI | Practitioner - Family Practice | 8224003827 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JB070145 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Family Medicine PLLC | Family Medicine | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | JB070145 | MI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285749549 | Medicaid | MI | |
| 383662851 | Other | MI | PPOM |
| 4643528 | Medicaid | MI | |
| 0807410461 | Other | MI | BLUE CROSS/BLUE SHIELD |
| 9153443002 | Other | MI | CIGNA HEALTHCARE HMO |
Other providers in Fort Gratiot, MI
- Emma Bonner
- Christopher J Borgiel
- Savannah Leigh Borgman
- Carolyn Margaret Bourgois
- Janeen Bourlier
- Teresa Elizabeth Bowen
- Steven W. Bremer
- Karen Brickner
- Jack Quinn Britz
- James Richard Brooks
All providers in Fort Gratiot, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.