Active NPI
Paige Butcher, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Ashtabula, OH
National Provider Identifier
1245823350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.0031474
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245823350 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.450852 | OH | MD | Registered Nurse |
| APRN.CNP.0031474 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Behavioral Health of Upmc Hamot | Current | Accepting new patients | |
| Safe Harbor Behavioral Health of Upmc Hamot | Current | Accepting new patients | |
| Family Services of NW PA | Current | Accepting new patients | |
| Family Pride of Northeast Ohio Incorporated | Past | Accepting new patients | |
| Family Pride of Northeast Ohio Incorporated | Past | 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
- 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.
-
- Child & Adolescent Psychiatry Physician
- Erie, PA
- NPI 1265482863
-
dba UPMC Western Behavioral Health at Safe Harbor
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Erie, PA
- NPI 1083695985
-
- Community/Behavioral Health Agency
- Erie, PA
- NPI 1518168368
-
- Community/Behavioral Health Agency
- Chardon, OH
- NPI 1427013556
-
- Community/Behavioral Health Agency
- Chardon, OH
- NPI 1881049807
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.