Individual provider Active NPI

Jamie Lynn Butler, NP-C

  • Family Nurse Practitioner
  • Dover, OH
National Provider Identifier
1508375114
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021801 Issued in OH
Practice address
110 Dublin Dr Ste a
Dover, OH 44622-7805
Phone
(330) 364-8038
NPI assigned
Sep 26, 2017
Last updated
Sep 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.332673 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.021801 OH Primary

Addresses

Primary practice location

110 Dublin Dr Ste a
Dover, OH 44622-7805

Mailing address

301 Ash St
Newcomerstown, OH 43832-9431
Phone (740) 227-0673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20171115001731 OH Practitioner - Nurse Practitioner 8527324128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

610 Walnut St
Coshocton, OH 43812-1655
Phone (216) 800-8544

Merit-based Incentive Payment System (MIPS)

Final score
86.03 of 100Reported as group
Quality
75.45
Promoting interoperability
100
Improvement activities
40
Cost
77.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.332673OHMDRegistered Nurse
APRN.CNP.021801OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coshocton County Drug & Alcohol Council, Inc CurrentSince Jun 5, 2024 Accepting new patients
Coshocton County Drug & Alcohol Council, Inc CurrentSince Jun 5, 2024 Accepting new patients

Locations

610 Walnut St
Coshocton, OH 43812
Phone (740) 622-0033

Interoperability endpoints

  • Direct secure messaging: jbutler1237509@direct.ccf.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1508375114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ASH ST",
            "city": "NEWCOMERSTOWN",
            "state": "OH",
            "postal_code": "438329431",
            "telephone_number": "740-227-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DUBLIN DR STE A",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446227805",
            "telephone_number": "330-364-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.332673",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.