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

Individual provider Surgical Physician Assistant · NPI 1013268218

Samantha Whalen Bouthillette, PA-C is a Physician Assistant in Springfield, Massachusetts. Qualified in 2012, 14 years ago. Practices with Northeast Orthopaedic Alliance PLLC, a 289-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
14
Licensed in
MA
In the registry since
2012
Specialties on file
2
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

300 Birnie Ave
Springfield, MA 01107-1107
Phone: (413) 785-4666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA5512 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA5512 (MA)

Record details

NPI number1013268218
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2012
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Northeast Orthopaedic Alliance Pllc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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