Active NPI
Caroline Wheeler Butts, PA-S
- Physician Assistant
- Wauwatosa, WI
National Provider Identifier
1912630641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7945-23
- Practice address
- 10625 W North Ave Ste 101B
Wauwatosa, WI 53226-2315 - Phone
- (414) 877-5350
- NPI assigned
- Jul 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7945-23 | WI | Primary |
Addresses
Primary practice location
10625 W North Ave Ste 101B
Wauwatosa, WI 53226-2315
Mailing address
N91W16015 Junction Way Apt 301
Menomonee Falls, WI 53051-3160
Phone (910) 635-6929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7945-23 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| EMS Observation, S.C. | Current | Accepting new patients | |
| Shoreview Pediatrics, S.C. | Past | Accepting new patients |
Locations
10625 W North Ave
Ste 101B
Wauwatosa, WI 53226
Phone (414) 727-9183
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71671
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.
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1568413524
-
- Emergency Medicine Physician
- Franklin, WI
- NPI 1033858378
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1144433236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1912630641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N91W16015 JUNCTION WAY APT 301",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530513160",
"telephone_number": "910-635-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10625 W NORTH AVE STE 101B",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262315",
"telephone_number": "414-877-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTS",
"first_name": "CAROLINE",
"middle_name": "WHEELER",
"name_prefix": "Mrs.",
"credential": "PA-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-09",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "7945-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.