Active NPI
Amy Susanne Butterworth, MD
- Psychiatry Physician
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 70095-20
- Practice address
- 820 E 17TH St
Cheyenne, WY 82001-4714 - Phone
- (307) 632-2434
- NPI assigned
- Jun 23, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 061-T1 | WY | |
| Psychiatry Physician | 2084P0800X | 70095-20 | WI | Primary |
Addresses
Primary practice location
820 E 17TH St
Cheyenne, WY 82001-4714
Mailing address
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2020
Other practice location 1
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2009 5TH St
Monroe, WI 53566-1546
Phone (608) 324-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70095-20 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
2009 5th St
Monroe, WI 53566
Phone (608) 324-1454
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
Interoperability endpoints
- abutterworth432446@direct-ehr-ssmhc.com
- abutterworth169626@direct.aspirus.org
Organizations & group practices 7
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.
-
- Specialist
- Monroe, WI
- NPI 1386720548
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
-
- General Practice Physician
- Stevens Point, WI
- NPI 1184082745
Family Medicine
-
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1487036703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 N SHORE DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545016710",
"telephone_number": "715-361-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E 17TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014714",
"telephone_number": "307-632-2434"
}
],
"practiceLocations": [
{
"address_1": "2251 N Shore Dr",
"address_purpose": "LOCATION",
"city": "Rhinelander",
"state": "WI",
"postal_code": "545016710",
"country_code": "US",
"telephone_number": "715-361-2020",
"fax_number": "715-361-2021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTTERWORTH",
"first_name": "AMY",
"middle_name": "SUSANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "061-T1",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "70095-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.