Cheryl Lea Butler, NP

Key facts

NPI

1073010229

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

8342-33 (WI)

Practice address

120 Park Ave Ste 1
Beaver Dam, WI 53916-2132

Phone

(920) 885-5225

Fax

(920) 356-6419

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Face and Skin LLC Otolaryngology Physician · Beaver Dam, WI · NPI 1942524780
  Medicare reassignment Care Compare group NPD WI
• Beaver Dam Community Hospitals Inc Clinic/Center · Beaver Dam, WI · NPI 1972188555
  Medicare reassignment NPD WI
• Beaver Dam Community Hospitals Inc Pharmacy · Beaver Dam, WI · NPI 1295771780
  NPD
• Beaver Dam Community Hospitals Inc Family Medicine Physician · Waupun, WI · NPI 1629374780
  NPD
• MCHS Hospitals Inc Clinic/Center · Marshfield, WI · NPI 1093221434
  NPD
• Beaver Dam Community Hospitals Inc Non-Pharmacy Dispensing Site · Beaver Dam, WI · NPI 1992954119
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Face and Skin LLC (4 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cheryl.butler@marshfieldclinichealthsystem.cernerdirect.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 11, 2024.

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1073010229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PARK AVE STE 1",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162132",
            "telephone_number": "920-885-5225",
            "fax_number": "920-356-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PARK AVE STE 1",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162132",
            "telephone_number": "920-885-5225",
            "fax_number": "920-356-6419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Hospital Dr Ste 2002",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530983320",
            "country_code": "US",
            "telephone_number": "920-885-5225",
            "fax_number": "920-356-6419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CHERYL",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8342-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

• Meagan Brown, H.I.S.
• Rebecca Buchda
• William Henry Bull V, MD
• Jami Nicole Burg, P.A.
• Laura Burkett, MD
• Victor W. Caceres, M.D.
• Marsha Gail Cannon, RN
• Carla Jean Cartwright, SAC
• Casitas Diagnostics Inc
• Colleen F Cassidy, MD

All providers in Beaver Dam, WI · Family Nurse Practitioner in Wisconsin