Individual provider Active NPI

Chloe Boutton, PA-C

  • Medical Physician Assistant
  • Plymouth, MI
National Provider Identifier
1407636830
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601013690 Issued in MI
Practice address
40777 Ann Arbor Rd E
Plymouth, MI 48170-4448
Phone
(734) 738-2020
NPI assigned
Oct 3, 2023
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA006685 PA
Medical Physician Assistant 363AM0700X MA065076 PA
Medical Physician Assistant 363AM0700X 5601013690 MI Primary

Addresses

Primary practice location

40777 Ann Arbor Rd E
Plymouth, MI 48170-4448

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (800) 436-7936

Other practice location 1

575 Coal Valley Rd Ste 300
Clairton, PA 15025-3770
Phone (412) 267-6600

Other practice location 2

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (877) 771-4847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231201001650 PA Practitioner - Physician Assistant 0042668055 Reassigns benefits to 3 organizations
I20260210001294 MI Practitioner - Physician Assistant 0042668055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epmg of Michigan PCGroup PAC ID 4789596339, 108 clinicians

Practice addresses (Care Compare)

775 S Main St
Chelsea, MI 48118-1383
Phone (954) 939-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601013690MIMDMedical Physician Assistant
OA006685PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Valley Medical Facilities Inc CurrentSince Sep 5, 2023 Accepting new patients
Allegheny Clinic CurrentSince Sep 3, 2024 Accepting new patients
Allegheny Clinic CurrentSince Sep 3, 2024 Accepting new patients
Epmg of Michigan, P.C. CurrentSince Feb 1, 2026 Accepting new patients
Valley Medical Facilities Inc CurrentSince Sep 5, 2023 Accepting new patients
Valley Medical Facilities, Inc. Past Accepting new patients

Locations

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

575 Coal Valley Rd
Ste 300
Jefferson Hills, PA 15025
Phone (412) 267-6000

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1407636830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "800-436-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40777 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704448",
            "telephone_number": "734-738-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Coal Valley Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Clairton",
            "state": "PA",
            "postal_code": "150253770",
            "country_code": "US",
            "telephone_number": "412-267-6600",
            "fax_number": "412-267-6281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Dutch Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150099727",
            "country_code": "US",
            "telephone_number": "877-771-4847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUTTON",
        "first_name": "CHLOE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA006685",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065076",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601013690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.