Physician Assistant, Medical
Mr. JUSTIN BOUTWELL PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1861959017 · enumerated 2019-02-25 · record updated 2019-08-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 145 MEMORIAL DR, BROKEN BOW, NE, 68822-1378 (308) 872-2486 Fax (308) 872-2027 Google Maps Apple Maps OpenStreetMap
- Mailing address 145 MEMORIAL DR, BROKEN BOW, NE, 68822-1378 (308) 991-4571 Fax (308) 872-2027 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License 2387 NE
In this directory
Locations and evidence
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Practice location
BROKEN BOW, NE, 688221378
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.