Registry record
- NPI
- 1912977117
- Profession
- Physician Assistant (PA)
- Specialty
- Medical Physician Assistant (363AM0700X)
- Practice address
- 1050 State Highway 16 S
Bandera, TX 78003 - Phone
- 8302610684
- In the registry since
- January 23, 2006
- Last NPPES update
- October 17, 2016
- Sole proprietor
- No
- License
- PA00055 (TX)
At this location
One other provider in our data lists 1050 State Highway 16 S, Bandera as a practice address:
- Jeanne Diane Thacker, MSN CNS, FNP-C
Family Nurse Practitioner · NPI 1962479774
In context
The NPI number of Jesse Boutwell is 1912977117. They are a Medical Physician Assistant in Bandera, Texas.
Jesse Boutwell is one of 4 Medical Physician Assistants in Bandera and one of 2,844 across Texas in our data.
The NPI has been in the federal registry for 20 years, since January 23, 2006.
Frequently asked questions
What is NPI 1912977117?
NPI 1912977117 is the 10-digit National Provider Identifier assigned to Jesse Boutwell, a Medical Physician Assistant practicing in Bandera, Texas. The record has been in the NPPES registry since January 23, 2006.
How do I verify this provider?
Cross-check NPI 1912977117 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA00055 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as October 17, 2016. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.