Individual provider Active NPI

Allyson Jaclyn Butler, CRNP

  • Family Nurse Practitioner
  • Cheswick, PA
National Provider Identifier
1811297096
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011342 Issued in PA
Practice address
1304 Pittsburgh St
Cheswick, PA 15024-1447
Phone
(412) 767-5387
Fax
(412) 828-6642
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearfield-Jefferson Primary Care Associates PC 73 clinicians

Practice addresses (Care Compare)

103 Market St
Scottdale, PA 15683-2047
Phone (814) 503-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120606000277 PA Practitioner - Nurse Practitioner 0547424400 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP011342PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jul 16, 2020 Accepting new patients
Allegheny Clinic Current Accepting new patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1304 Pittsburgh St
Cheswick, PA 15024
Phone (412) 767-5387

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

103 Market St
Scottdale, PA 15683
Phone (724) 220-5422

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP011342 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1304 Pittsburgh St
Cheswick, PA 15024-1447

Mailing address

1304 Pittsburgh St
Cheswick, PA 15024-1447
Phone (412) 767-5387

Other names 1

NPPES NPI Registry
  • Allyson Jaclyn Mayer Former name

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address abutler294532@direct.ahn.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2020.

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1811297096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 PITTSBURGH ST",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150241447",
            "telephone_number": "412-767-5387",
            "fax_number": "412-828-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 PITTSBURGH ST",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150241447",
            "telephone_number": "412-767-5387",
            "fax_number": "412-828-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ALLYSON",
        "middle_name": "JACLYN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abutler294532@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1304 Pittsburgh St",
            "city": "Cheswick",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150241447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLYSON",
            "last_name": "MAYER",
            "middle_name": "JACLYN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheswick, PA

Sources for this page

Verify at the official NPI Registry.