Active NPI
Rebecca Butler, CFNP
- Family Nurse Practitioner
- Belden, MS
National Provider Identifier
1265445472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2004000989
- Practice address
- 2885 McCullough Blvd
Belden, MS 38826 - Phone
- (662) 269-2230
- Fax
- (662) 269-2232
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2004000989 | MS | Primary |
Addresses
Primary practice location
2885 McCullough Blvd
Belden, MS 38826
Mailing address
PO Box 353
Belden, MS 38826
Phone (662) 269-2230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08836830 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050405000818 | MS | Practitioner - Nurse Practitioner | 2961459656 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boa Vida Hospital of Aberdeen Ms LLC
Practice addresses (Care Compare)
400 S Chestnut St
Aberdeen, MS 39730-3335
Phone (662) 369-2455
Hospital & facility affiliations
- Centerwell Home Health
- Monroe Regional Hospital
- University of Kansas Hospital
- Pontotoc Health Service Inc Cah
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004000989 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms LLC | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current | Accepting new patients | |
| John W. White, Jr., MD, PA | Past | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Past | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms LLC | Past | Accepting new patients |
Locations
400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455
351 Peoples Dr
Pontotoc, MS 38863
Phone (601) 438-2678
Interoperability endpoints
- rbutler@acafcop-ms.direct.office.nextgen.com
- https://api.platform.athenahealth.com/3600/brand/1/csg/43/fhir/r4
Organizations & group practices 6
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.
-
- Community/Retail Pharmacy
- Aberdeen, MS
- NPI 1134858269
-
- Rural Health Clinic/Center
- Pontotoc, MS
- NPI 1700477015
-
- Rural Health Clinic/Center
- Aberdeen, MS
- NPI 1245757301
-
- Legal Medicine
- Verona, MS
- NPI 1962415117
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Aberdeen, MS
- NPI 1285164046
Hospital
-
- Home Health Agency
- Tupelo, MS
- NPI 1972509099
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
Hospital
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1265445472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 353",
"city": "BELDEN",
"state": "MS",
"postal_code": "38826",
"telephone_number": "662-269-2230",
"fax_number": "662-269-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2885 MCCULLOUGH BLVD",
"city": "BELDEN",
"state": "MS",
"postal_code": "38826",
"telephone_number": "662-269-2230",
"fax_number": "662-269-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "REBECCA",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "2004000989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08836830",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belden, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.