Active NPI 1154657443 Individual Practitioner Female Practitioner

Jenna Boutilier , NP

Nurse Practitioner • Cumberland, RI

Professional Overview & Biography Verified Profile Summary

Jenna Boutilier, NP is a registered healthcare professional specializing in Nurse Practitioner in Cumberland, RI. Practice services are available at 106 NATE WHIPPLE HWY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

106 Nate Whipple Hwy
Suite 101

Cumberland, RI 028641403

Telephone 4016582020

Fax 4016583612

Associated Practice Facility / Clinic

🏢 Physicians Of Rhode Island Medical Enterprises, Inc. Facility NPI 1063402964

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cumberland, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 13.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Cumberland, RI (397 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$292.00	$113.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$298.00	$116.32
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$34.00	$12.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	65	$153.00	$61.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$244.00	$115.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	62	$302.00	$123.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	36	$225.00	$83.90
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	58	58	$54.00	$23.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	38	$91.00	$37.32
G0444 Annual depression screening, 5 to 15 minutes	45	45	$38.00	$16.62
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$36.00	$13.19
G0008 Administration of influenza virus vaccine	13	12	$52.00	$17.71
G0009 Administration of pneumococcal vaccine	12	12	$52.00	$17.71
90662 Influenza vaccine split virus, preservative free	11	11	$85.00	$65.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	88	58	$153.00	$49.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	43	$225.00	$76.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	42	$91.00	$30.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	41	$302.00	$94.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$244.00	$102.26
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	32	32	$54.00	$23.21
G0444 Annual depression screening, 5 to 15 minutes	30	30	$38.00	$16.09
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$36.00	$15.21
G0008 Administration of influenza virus vaccine	16	15	$52.00	$17.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	76	$225.00	$68.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	97	$302.00	$97.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$244.00	$102.20
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	74	74	$54.00	$22.96
93000 Routine ekg using at least 12 leads including interpretation and report	68	66	$36.00	$15.10
G0444 Annual depression screening, 5 to 15 minutes	56	56	$38.00	$15.93
G0008 Administration of influenza virus vaccine	33	31	$52.00	$17.28
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$157.64	$49.02
90662 Influenza vaccine split virus, preservative free	24	22	$85.00	$54.67
G0009 Administration of pneumococcal vaccine	13	12	$52.00	$17.28
96127 Assessment of emotional or behavioral problems	12	12	$15.00	$5.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	113	$225.00	$79.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$244.00	$103.04
93000 Routine ekg using at least 12 leads including interpretation and report	71	65	$36.00	$15.08
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	70	70	$54.00	$22.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	47	$302.00	$106.76
G0008 Administration of influenza virus vaccine	43	39	$52.00	$21.32
90662 Influenza vaccine split virus, preservative free	40	36	$85.00	$51.45
G0009 Administration of pneumococcal vaccine	36	36	$52.00	$21.32
99213 Established patient office or other outpatient visit, typically 15 minutes	29	22	$153.00	$55.27
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$198.00	$105.59
G0444 Annual depression screening, 5 to 15 minutes	19	19	$38.00	$15.92
83036 Hemoglobin A1C level	18	15	$23.11	$11.75
90670 Pneumococcal vaccine for injection into muscle	14	14	$385.00	$195.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	122	$232.22	$88.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	83	83	$247.43	$101.43
G0444 Annual depression screening, 5 to 15 minutes	83	83	$38.54	$15.85
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	77	77	$54.68	$22.44
99213 Established patient office or other outpatient visit, typically 15 minutes	60	47	$155.40	$59.52
93000 Routine ekg using at least 12 leads including interpretation and report	41	38	$36.39	$14.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	31	$308.00	$119.22
90662 Influenza vaccine split virus, preservative free	32	31	$82.34	$46.36
G0008 Administration of influenza virus vaccine	32	31	$52.44	$26.42
G0009 Administration of pneumococcal vaccine	28	28	$53.50	$26.42
90670 Pneumococcal vaccine for injection into muscle	24	24	$375.38	$186.43
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	22	22	$56.36	$22.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$346.00	$142.20

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License RI NPP37529

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Lindsey Grissom

Physician Assistant

NPI 1043078405

Amanda Blanchard , MSN-FNP-C

Nurse Practitioner - Family

NPI 1184283202

MSNFNPC

Robert Pugliese , MSN, APRN, FNP, NP-C

Nurse Practitioner - Family

NPI 1255672440

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner, Nurse Practitioner (Certified)

Keith Shields , PA-C

Physician Assistant

NPI 1265972350

Physician Assistant (Certified)

Dr. Cathy Schoorens , MD

Family Medicine

NPI 1588646632

Doctor of Medicine (M.D.)

Dr. Scott Wilson , MD

Internal Medicine

NPI 1619974672

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 22, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location October 22, 2009

Registered at 106 NATE WHIPPLE HWY, SUITE 101, CUMBERLAND, RI 028641403 (Tel: 4016582020)

📍

Updated Business Mailing Address October 22, 2009

Registered at PO BOX 27, MANVILLE, RI 028380027 (Tel: 8009270002)

👤

Provider Name / Credentials Updated October 22, 2009

Recorded as JENNA BOUTILIER, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2009

Nurse Practitioner (License #NPP37529 in RI)

🟢

Initial NPI Registration & Enumeration October 22, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154657443

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 22, 2009

Last Update: October 22, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 27

Manville, RI 028380027

Phone: 8009270002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.