| NPI | 1285749549 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-08-19 |
| Last Updated | 2026-03-19 |
| Mailing Address | 3041 Commerce Dr Ste B Fort Gratiot, MI 48059-3877 United States Phone: (810) 432-0500 | Fax: (810) 432-0501 📍 View Map |
| Primary Practice Address | 3041 Commerce Dr Ste B Fort Gratiot, MI 48059-3877 United States Phone: (810) 432-0500 | Fax: (810) 432-0501 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | MI | 0807410461 | Blue Cross/Blue Shield |
| MEDICAID | MI | 1285749549 | - |
| Other (non-Medicare) | MI | 383662851 | PPOM |
| MEDICAID | MI | 4643528 | - |
| Other (non-Medicare) | MI | 9153443002 | Cigna Healthcare HMO |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | MI | JB070145 |
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About NPI 1285749549
Julie A Boutt M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1285749549. The primary specialty listed is Family Medicine. The provider is located in Fort Gratiot, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1285749549?
NPI 1285749549 belongs to Julie A Boutt M.D., a Family Medicine in Fort Gratiot, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1285749549 active?
The current status of NPI 1285749549 in the NPPES registry is Active. The record was last updated on 2026-03-19.
What specialty is NPI 1285749549?
NPI 1285749549 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1285749549?
You can verify NPI 1285749549 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1285749549?
The primary practice address on file for NPI 1285749549 is 3041 Commerce Dr Ste B, Fort Gratiot, MI 48059-3877. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1285749549 issued?
NPI 1285749549 was first issued (enumerated) on 2006-08-19. The NPPES record was last updated on 2026-03-19.
Practice Location Map
Julie A Boutt is located at 3041 Commerce Dr Ste B, Fort Gratiot, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Julie A Boutt. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1285749549. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | JB070145 | MI |