Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse Allan Boutwell, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1912977117

Jesse Allan Boutwell, PHYSICIANASSISTANT is a Physician Assistant in Bandera, Texas. Qualified in 2006, 20 years ago. Practices with Quality Acute Care PA, a 7-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2006

Practice location Address checks out

1050 State Highway 16 S
Bandera, TX 78003-4830
Phone: (830) 261-0684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00055 (TX)

Record details

NPI number1912977117
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESOctober 17, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Quality Acute Care Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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