Justin Boutwell, PA
Justin Boutwell, PA is a Medical Physician Assistant in Broken Bow, NE, registered under NPI 1861959017.
Getting there
The practice address on file is 145 MEMORIAL DR, Broken Bow, NE 68822. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2387 | NE | Medical Physician Assistant primary |
This provider holds licence 2387 issued in NE. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 9234467309
- Enrollment ID
- I20190827004075
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. 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 Medical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
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.
| NPI | 1861959017 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 25, 2019 |
| Last updated | Aug 19, 2019 |
| Status | Active |
| Sole proprietor | No |
| Credential | PA |
| Practice address |
145 MEMORIAL DR Broken Bow, NE 68822 (308) 872-2486 Fax (308) 872-2027 |
Number check
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 | 8 | 6 | 1 | 9 | 5 | 9 | 0 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 3 | 1 | 9 | 5 | 9 | 0 | 2 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
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.