Individual provider Active NPI

Daniel Paul Butcher, AGNP-C

  • Adult Health Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1730807793
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704301359 Issued in MI
Practice address
2100 E Provincial House Dr
Lansing, MI 48910-4884
Phone
(517) 272-4029
NPI assigned
Aug 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704301359 MI Primary

Addresses

Primary practice location

2100 E Provincial House Dr
Lansing, MI 48910-4884

Mailing address

5820 Chartres Way
East Lansing, MI 48823-9235
Phone (910) 391-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20221017002068 MI Practitioner - Nurse Practitioner 8123494150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Care Medical Group of Mi, PLLCGroup PAC ID 5294075040, 8 clinicians

Practice addresses (Care Compare)

3860 Dobie Rd
Okemos, MI 48864-3704
Phone (517) 381-6100

6429 Earlington LN
Lansing, MI 48917-8279
Phone (517) 589-4770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704301359MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Care Medical Group of Mi, PLLC CurrentSince Sep 19, 2022 Accepting new patients

Locations

1843 N Hagadorn Rd
East Lansing, MI 48823
Phone (517) 332-5061

2815 Northwind Dr
East Lansing, MI 48823
Phone (517) 332-0817

434 W North St
Jackson, MI 49202
Phone (517) 787-3250

2100 E Provincial House Dr
Lansing, MI 48910
Phone (517) 272-4029

707 Armstrong Rd
Lansing, MI 48911
Phone (517) 393-5680

731 Starkweather Dr
Lansing, MI 48917
Phone (517) 323-9133

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

Organizations & group practices 1

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1730807793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 CHARTRES WAY",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488239235",
            "telephone_number": "910-391-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E PROVINCIAL HOUSE DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489104884",
            "telephone_number": "517-272-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704301359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.