Nancy S Boutin, M.D.

Primary specialty

Hospice and Palliative Medicine (Radiology) PhysicianTaxonomy code 2085H0002X

License

MD13924 Issued in OR

Practice address

1015 3Rd St NW
Salem, OR 97304-4007

Phone

(503) 588-3600

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Willamette Valley Hospice Inc

  • Community Based Hospice Care Agency
  • Salem, OR
  • NPI 1093715070
  Medicare reassignment
• Radiation Therapy Consultants, PC

  • Radiation Oncology Physician
  • McMinnville, OR
  • NPI 1093961286
  NPD (past)
• Radiation Therapy Consultants, PC

  • Radiation Oncology Physician
  • Salem, OR
  • NPI 1427139120
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1841214327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14001",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973095014",
            "telephone_number": "503-561-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 3RD ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044007",
            "telephone_number": "503-588-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Oak St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013975",
            "country_code": "US",
            "telephone_number": "503-561-5419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUTIN",
        "first_name": "NANCY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OR",
            "license": "MD13924",
            "primary": false
        },
        {
            "code": "2085H0002X",
            "taxonomy_group": "",
            "desc": "Radiology, Hospice and Palliative Medicine",
            "state": "OR",
            "license": "MD13924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004650",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charity Bost
• Dawn Elizabeth Bost, MD
• Catherine Aine Boulay, MD
• Francine Helen Boullosa, PHYSICIAN ASSISTANT
• James M Bourdet, PT
• Mark David Boutros, PT, DPT
• Ashleh Dawn Bowen
• Elizabeth Jocelyn Bowen, M.D.
• Kameron Jay Bowen, THW CHW PSS
• Kimberly Rachel Bowen, M.S. CCC-SLP

• Hospice and Palliative Medicine (Radiology) Physician in Salem, OR
• Providers in Salem, OR by specialty
• Hospice and Palliative Medicine (Radiology) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.