Jacque Boutwell, CFA
NPI 1013062405 · Surgical Assistant · Elkhart, IN
Jacque Boutwell, CFA is a Surgical Assistant provider in Elkhart, IN (NPI 1013062405).
Provider details
- NPI number
- 1013062405
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CFA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- Surgical Technologist246ZS0410X
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2014-11-25
Frequently asked questions
- What is Jacque Boutwell's NPI number?
- Jacque Boutwell's National Provider Identifier (NPI) is 1013062405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacque Boutwell's specialty?
- Jacque Boutwell is listed in the NPPES registry with a primary specialty of Surgical Assistant (Technologists, Technicians & Other Technical Service Providers).
- Where is Jacque Boutwell located?
- Jacque Boutwell's practice location on file with NPPES is 3301 County Rd 6 E, Elkhart, IN 46514-7673.
- What is Jacque Boutwell's phone number?
- The practice phone number listed in the NPPES registry for Jacque Boutwell is (574) 214-7504.
- Is Jacque Boutwell's NPI active?
- Yes — Jacque Boutwell's NPI (1013062405) is active in the NPPES registry as of the last update on 2014-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.