CMS-1500 Box 24J / 33a • NPI
1023630266
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
35 MEDICAL CENTER PKWY, AUGUSTA, ME, 04330-8160
✓ 9-Digit EDI 837 ZIP+4 (04330-8160)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1023630266 (JAMIE SUE BOUTIN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1023630266)
Medicare Beneficiaries
35
Total Billed Services
378
Distinct CPT/HCPCS Codes
9
Medicare Allowed Total
$32,880.10
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 63 |
99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 128 |
99497 | Advance care planning, first 30 minutes | 19 |
G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif | 125 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Buprenorphine Hcl Buprenorphine Hcl | 52 | <11 |
| Diclofenac Sodium Diclofenac Sodium | 15 | <11 |
| Fentanyl Fentanyl | 13 | <11 |
| Gabapentin Gabapentin | 11 | <11 |
| Haloperidol Lactate Haloperidol Lactate | 11 | <11 |
| Hydromorphone Hcl Hydromorphone Hcl | 60 | <11 |
| Lidocaine Lidocaine | 12 | <11 |
| Methadone Hcl Methadone Hcl | 55 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1023630266 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JAMIE SUE BOUTIN |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 35 MEDICAL CENTER PKWY, AUGUSTA, ME, 04330-8160 |
| Practice Telephone / Fax | Tel: (207) 626-1000 |
| Administrative Mailing Address | 273 JOY VALLEY RD, BUXTON, ME, 04093-6234 |
| Enumeration & Last Sync | Enumerated: 2020-05-11 | CMS Record Updated: 2026-09-17 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JAMIE SUE BOUTIN)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: ME | License: CNP201088 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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