Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Grace Dorothy Bouton, PA-C

Individual provider Physician Assistant · NPI 1417506684

Grace Dorothy Bouton, PA-C is a Physician Assistant in Somerville, Massachusetts. Qualified in 2019, 7 years ago. Practices with Cambridge Public Health Commission, a 649-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

401 Highland Ave
Somerville, MA 02144-2516
Phone: (888) 502-4571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 720 Harrison Avenue, Boston, MA 02118 — (617) 638-8419
  • 526 Centre St Apt 4, Boston, MA 02130-2174 — (802) 922-6629

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA7204 (MA)

Record details

NPI number1417506684
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2019
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cambridge Public Health Commission — 649 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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