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

Individual provider Anesthesiology Physician · NPI 1376100875

Meryl Lee Boutte, CAA is an Anesthesiology Assistant in Waco, Texas. Qualified in 2019, 7 years ago. Practices with Scott and White Clinic, a 2,429-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone: (254) 202-2000
Fax: (254) 202-5849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 29649094 (TX)
Anesthesiology Physician Taxonomy 207L00000X · Licence 29649094 (TX)

Record details

NPI number1376100875
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAA
Sole proprietorNo
NPI enumeratedMay 21, 2019
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Waco