Connie Lynn Butler, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2005014673 Issued in MO

Practice address

92 Main St
Cassville, MO 65625-1610

Phone

(417) 847-5225

Fax

(417) 847-5425

NPI assigned

Oct 17, 2006

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, AR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbutler77@directb.mercy.net

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Circle of Life

  dba Circle of Life Hospice

  • Community Based Hospice Care Agency
  • Springdale, AR
  • NPI 1386755460

  W-2 Managing Employee

  CMS ownership

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

• Mercy Clinic Springfield Communities

  dba Mercy Clinic Family Medicine-Willow Springs

  • Rural Health Clinic/Center
  • Willow Springs, MO
  • NPI 1972771657
  Medicare reassignment
• Mercy Clinic Springfield Communities

  dba Eye Specialists-Optical Shop-Rolla

  • Durable Medical Equipment & Medical Supplies
  • Rolla, MO
  • NPI 1023215571
  NPD
• Circle of Life

  dba Circle of Life Hospice

  • Community Based Hospice Care Agency
  • Springdale, AR
  • NPI 1386755460

  Family Medicine

  NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1255412417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MAIN ST",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656251610",
            "telephone_number": "417-847-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MAIN ST",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656251610",
            "telephone_number": "417-847-5225",
            "fax_number": "417-847-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CONNIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2005014673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Beagle, PLPC
• Rachel Kathleen Best, CY-SLP
• Danielle Marie Bishop, D.O.
• Hannah Marie Bolton, PHARM. D
• Mackenzie Taylor Bradley, FNP
• Carolyn M Hunter D M D P C
• Cassville Health Care Center, L.L.C. (Cassville Health Care Center)
• Cassville Healthcare LLC (Cassville Health Center for Rehab and Healthcare)
• Cassville Opco, LLC (Cassville Health Center for Rehab and Healthcare)
• Cassville Operations Management LLC

• Family Medicine Physician in Cassville, MO
• Providers in Cassville, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.