Individual provider Active NPI

Casey Butts, NP-C

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1154725075
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
99543 Issued in OK
Practice address
9800 Broadway Ext Ste 200
Oklahoma City, OK 73114-6304
Phone
(405) 715-4496
Fax
(405) 715-4499
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 99543 OK Primary

Addresses

Primary practice location

9800 Broadway Ext Ste 200
Oklahoma City, OK 73114-6304

Mailing address

1720 Dorchester PL
Nichols Hills, OK 73120-1008

Other identifiers 1

IdentifierTypeStateIssuer
.Other.

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL .
Other URL ...

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141209002030 OK Practitioner - Nurse Practitioner 0648592279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optimal Health Associates LLCGroup PAC ID 0446602536, 12 clinicians

Practice addresses (Care Compare)

9800 Broadway Ext
Suite 200
Oklahoma City, OK 73114-6304
Phone (405) 715-4496

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
99543OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Associates LLC CurrentSince Feb 1, 2024 Accepting new patients
The Physicians Group LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

9800 Broadway Ext
Ste 200
Oklahoma City, OK 73114
Phone (405) 715-4496

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

9800 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 419-2980

10029 N Oklahoma Ave
Ste 300
Oklahoma City, OK 73114
Phone (404) 494-4194

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23872/brand/5/csg/61/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1154725075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 DORCHESTER PL",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731201008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 BROADWAY EXT STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146304",
            "telephone_number": "405-715-4496",
            "fax_number": "405-715-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "CASEY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "99543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": ".",
            "identifier": ".",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": ".",
            "affiliation": "N",
            "address_1": "9800 Broadway Ext Ste 200",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731146304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "...",
            "affiliation": "N",
            "address_1": "9800 Broadway Ext Ste 200",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731146304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.