NPI 1912098591 · live from the CMS NPI Registry
Matthew Bouteiller, PA-C
Physician Assistant in Lebanon, NH. National Provider Identifier 1912098591, active.
NPI record
| NPI | 1912098591 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1 Medical Center Dr, Lebanon, NH 03756 |
| Practice phone | 603-650-5000 |
| Mailing address | Po Box 810, Hanover, NH 03755 |
| Enumerated | September 27, 2006 |
| Last updated | January 30, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 3590 (NH) |
| Physician Assistant | 363A00000X | AP2108 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.