Maram M Boutwell, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

188761 Issued in AK

Practice address

4000 Old Seward Hwy Ste 300
Anchorage, AK 99503-6079

Phone

(907) 770-0862

NPI assigned

Nov 13, 2017

Last updated

Oct 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  dba BSD - McGrath

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McGrath, AK
  • NPI 1780614263

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  dba Tribal- Kokhanok Community Health Clinic

  • Community Health Clinic/Center
  • Kokhanok, AK
  • NPI 1043689169
  NPD
• Southcentral Foundation

  dba Tribal- McGrath Regional Health Center

  • Multi-Specialty Clinic/Center
  • McGrath, AK
  • NPI 1063467223
  NPD
• Southcentral Foundation

  dba Tribal- Iguigig Community Health Clinic

  • Community Health Clinic/Center
  • Iguigig, AK
  • NPI 1144699216
  NPD
• Southcentral Foundation

  dba Tribal- Indian Creek Health Center

  • Community Health Clinic/Center
  • Tyonek, AK
  • NPI 1609232040
  NPD
• Southcentral Foundation

  dba Tribal- Nondalton Clinic

  • Community Health Clinic/Center
  • Nondalton, AK
  • NPI 1740659192
  NPD
• Southcentral Foundation

  dba Tribal-Nilavena Regional Health Center

  • Multi-Specialty Clinic/Center
  • Iliamna, AK
  • NPI 1912954272
  NPD
• Southcentral Foundation

  dba BSD- Detox

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1255881637
  NPD (past)
• Southcentral Foundation

  dba Tribal/HPG- Benteh Nuutah Primary Care Center (BNPCC)

  • Multi-Specialty Clinic/Center
  • Wasilla, AK
  • NPI 1386680056
  NPD (past)

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1336652338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23214 NORTHWOODS DR",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675481",
            "telephone_number": "602-390-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD SEWARD HWY STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036079",
            "telephone_number": "907-770-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTWELL",
        "first_name": "MARAM",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AK",
            "license": "188761",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AK",
            "license": "108775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Marie Bourque, NP
• Caroline Bourquin
• Boutsomsi Care
• Eravanh Boutsomsi, LMT
• Sienh Cindy Boutsomsi, RN
• Theresa Bovey
• Elizabeth Jean Bow, O.D.
• Miranda Nicole Bowen
• Jonathan James Bower, MSW, LCSW
• Sarah Kathleen Bowerfind

• Pediatric Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Pediatric Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.