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

Matthew Jay Boutin

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104690064

Matthew Jay Boutin is a Nurse Practitioner in Tucson, Arizona. Qualified in 2022, 4 years ago. Practices with Connections Southernaz, LLC, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

6445 E 42nd St
Tucson, AZ 85730-3603
Phone: (520) 603-4286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN156068 (AZ)

Record details

NPI number1104690064
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 10, 2023
Last updated in NPPESNovember 10, 2023
Certification dateNovember 10, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Connections Southernaz, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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