Individual provider Active NPI

Robert Butler

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1255970976
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
63366 Issued in ID
Practice address
201 Lincoln St
Twin Falls, ID 83301-5252
Phone
(435) 419-0210
NPI assigned
Dec 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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 63366 ID Primary

Addresses

Primary practice location

201 Lincoln St
Twin Falls, ID 83301-5252

Mailing address

601 Pole Line Rd
Twin Falls, ID 83301-4085
Phone (435) 419-0210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20200302000966 ID Practitioner - Nurse Practitioner 3577990696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gem State ENT PLLCGroup PAC ID 8123470481, 6 clinicians

Practice addresses (Care Compare)

2102 Canyon Plaza Dr
Twin Falls, ID 83301-4513
Phone (208) 804-1717

Hospital & facility affiliations

  • St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • St Luke'S Wood River Medical Center Hospital, Ketchum, ID, CCN 131323

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
73.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gem State ENT, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Physicians Immediate Care of Twin Falls PA Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Page Family Medicine Family Medicine Past Accepting new patients

Locations

243 Cheney Dr W
#200
Twin Falls, ID 83301
Phone (208) 647-0656

Interoperability endpoints

  • Direct secure messaging: rbutler30157@direct.slhs.org

Organizations & group practices 3

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 4

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": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1255970976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 POLE LINE RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014085",
            "telephone_number": "435-419-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LINCOLN ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015252",
            "telephone_number": "435-419-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-28",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "63366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.