Active NPI
Jennifer Lynn Butler, MD
- Emergency Medicine Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 125073647
- Practice address
- 701 N 1St St
Springfield, IL 62781-3757 - Phone
- (217) 788-3000
- Fax
- (217) 788-3156
- NPI assigned
- Jun 5, 2019
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036.159635 | IL | |
| Emergency Medicine Physician | 207P00000X | 125073647 | IL | Primary |
Addresses
Primary practice location
701 N 1St St
Springfield, IL 62781-3757
Mailing address
701 N First Street Mid-America Emergency Physicians
Springfield, IL 62781-0001
Phone (217) 788-3156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Colorado School of Medicine, Aurora, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 327-5461
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.68 of 100
- Quality
- 92.69
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.159635 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passavant Memorial Area Hospital Association | Current | Accepting new patients | |
| Ies Arizona PLLC | Emergency Medicine | Current | Accepting new patients |
| Passavant Memorial Area Hospital Association | Family Medicine | Current | Accepting new patients |
| Midwest Emergency Department Specialists LTD | Emergency Medicine | Current | Accepting new patients |
Locations
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1821752213
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1245263367
-
- Internal Medicine Physician
- Jacksonville, IL
- NPI 1760994040
Family Medicine
-
- Multi-Specialty Clinic/Center
- Jacksonville, IL
- NPI 1235864810
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657324800000",
"number": "1710545520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N FIRST STREET MID-AMERICA EMERGENCY PHYSICIANS",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627810001",
"telephone_number": "217-788-3156",
"fax_number": "217-788-6459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 1ST ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627813757",
"telephone_number": "217-788-3000",
"fax_number": "217-788-3156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2022-07-09",
"certification_date": "2022-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.159635",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125073647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.