Phyllis Susan Butler, APN-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

A03401 ANP Issued in AR

Practice address

4313 S Pleasant Crossing Blvd
Rogers, AR 72758-1347

Phone

(479) 947-4003

Fax

(870) 424-3089

NPI assigned

May 3, 2011

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Post-Acute Physicians of Missouri PC

  • Physical Medicine & Rehabilitation Physician
  • Bridgeton, MO
  • NPI 1164818290
  Medicare reassignment
• Northwest Physicians LLC

  • Obstetrics Physician
  • Springdale, AR
  • NPI 1194768721
  NPD
• Northwest Physicians LLC

  • Durable Medical Equipment & Medical Supplies
  • Springdale, AR
  • NPI 1205137536
  NPD

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1639461189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HIGHWAY 62 E STE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533200",
            "telephone_number": "870-424-3181",
            "fax_number": "870-424-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 S PLEASANT CROSSING BLVD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581347",
            "telephone_number": "479-947-4003",
            "fax_number": "870-424-3089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 W Garton Road",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "65721",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 N Main",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "72601",
            "country_code": "US",
            "telephone_number": "870-414-4511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "72764",
            "country_code": "US",
            "telephone_number": "870-743-4263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "PHYLLIS",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A03401 ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Burrows, MS, OTR/L
• Skylar Burzinski
• Nicholas Busbee, PHARM.D.
• Jeremy Allen Bush, M.D.
• Ashlyn Butler
• Samantha M Butler
• Kylie Buttram
• Caleb Lee Bynum
• Hayden Tyler Byrd, DDS
• Ron'L Marie Byrd, COTA/L

• Adult Health Nurse Practitioner in Rogers, AR
• Providers in Rogers, AR by specialty
• Adult Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.