Individual provider Active NPI

Paige Butcher, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashtabula, OH
National Provider Identifier
1245823350
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0031474 Issued in OH
Practice address
2801 C CT Unit 2
Ashtabula, OH 44004-4578
Phone
(440) 998-4210
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.450852 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0031474 OH Primary

Addresses

Primary practice location

2801 C CT Unit 2
Ashtabula, OH 44004-4578

Mailing address

2801 C CT Unit 2
Ashtabula, OH 44004-4578
Phone (440) 998-4210

Other identifiers 1

IdentifierTypeStateIssuer
1245823350MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paige.butcher@cccohio.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240216002118 PA Practitioner - Nurse Practitioner 4486098506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1330 W 26TH St
Erie, PA 16508-1402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.450852OHMDRegistered Nurse
APRN.CNP.0031474OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Health of Upmc Hamot CurrentSince Jan 19, 2024 Accepting new patients
Safe Harbor Behavioral Health of Upmc Hamot CurrentSince Jan 19, 2024 Accepting new patients
Family Services of NW PA CurrentSince Sep 1, 2024 Accepting new patients
Family Pride of Northeast Ohio Incorporated PastSince Feb 1, 2021 Accepting new patients
Family Pride of Northeast Ohio Incorporated PastSince Feb 1, 2021 Accepting new patients

Locations

1330 W 26th St
Erie, PA 16508
Phone (814) 451-2345

5100 Peach St
Erie, PA 16509
Phone (814) 866-4500

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/familyprideonline/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1245823350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 C CT UNIT 2",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044578",
            "telephone_number": "440-998-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 C CT UNIT 2",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044578",
            "telephone_number": "440-998-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "PAIGE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.450852",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0031474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245823350",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paige.butcher@cccohio.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2801 C Ct Unit 2",
            "city": "Ashtabula",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440044578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.