Individual provider

Nancy Boutin, PMHNP

Psychiatric/Mental Health Nurse Practitioner Registered Nurse Medicare enrolled

Nancy Boutin, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Woburn, MA, registered under NPI 1063177004. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 12 ALFRED ST STE 200, Woburn, MA 01801. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12 ALFRED ST STE 200, Woburn, MA 01801 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
RN2277518 MA Psychiatric/Mental Health Nurse… primary
RN2277518 MA Registered Nurse

This provider holds licence RN2277518 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
3779936919
Enrollment ID
I20240124002685

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health RN2277518 MA primary
163W00000X Registered Nurse RN2277518 MA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063177004 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 4, 2021
Last updatedMar 21, 2022
StatusActive
Sole proprietorNo
CredentialPMHNP
Practice address 12 ALFRED ST STE 200
Woburn, MA 01801
(781) 646-0500
Mailing address 255 4TH AVE
Lowell, MA 01854
The last update on file is Mar 21, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1063177004 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 1 7 7 0 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 2 7 5 0 0

Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063177004?
NPI 1063177004 is the National Provider Identifier assigned to Nancy Boutin, PMHNP in Woburn, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Nancy Boutin, PMHNP?
The phone number on file with NPPES is (781) 646-0500, last updated Mar 21, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Nancy Boutin, PMHNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063177004 a valid number?
Yes. 1063177004 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.