SAMANTHA LYNN BOUTHILLETTE PA-C NPI 1013268218

NPI Information

  • NPI: 1013268218
  • Provider Name: SAMANTHA LYNN BOUTHILLETTE, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 BIRNIE AVE
    SPRINGFIELD, MA
    ZIP 01107
  • Phone: (413) 785-4666

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NPI Details

Samantha Lynn Bouthillette, PA-C is a physician assistant in Springfield, MA with 13 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Samantha Lynn Bouthillette, PA-C NPI is 1013268218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 BIRNIE AVE
SPRINGFIELD, MA
ZIP 01107-107
Phone: (413) 785-4666

The NPI 1013268218 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Hyaluronan or derivative, gel-one, for intra-articular injection, per dose (HCPCS:J7326)
  • Application of elbow to finger cast (HCPCS:29075)
  • Cast supplies, short arm cast, adult (11 years +), fiberglass (HCPCS:Q4010)
  • Injection into tendon or ligament (HCPCS:20550)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Injection of carpal tunnel (HCPCS:20526)

The enumeration date for this NPI number is 9/27/2012 and was last updated on 7/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical2833CONNECTICUTNo
2363AS0400XPhysician AssistantSurgicalPA5512MASSACHUSETTSNo
3363A00000XPhysician AssistantPA5512MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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