Individual provider Active NPI

Jeremy Butler, NP-C

  • Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1972978377
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP8337 Issued in AZ
Practice address
2270 S Ridgeview Dr
Suite 300
Yuma, AZ 85364-8875
Phone
(928) 329-4771
Fax
(928) 329-4886
NPI assigned
Dec 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP8337 AZ Primary

Addresses

Primary practice location

2270 S Ridgeview Dr
Suite 300
Yuma, AZ 85364-8875

Mailing address

2270 S Ridgeview Dr
Suite 300
Yuma, AZ 85364-8875
Phone (928) 329-4771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160114001948 AZ Practitioner - Nurse Practitioner 1759683782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Medical Center Safford PLLCGroup PAC ID 7012257892, 3 clinicians

Practice addresses (Care Compare)

1765 S 20TH Ave
Safford, AZ 85546-4012
Phone (928) 424-1600

Hospital & facility affiliations

  • Mt. Graham Regional Medical Center Hospital, Safford, AZ, CCN 031319

Merit-based Incentive Payment System (MIPS)

Final score
30.65 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
75.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8337AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Medical Center Safford PLLC CurrentSince Apr 1, 2025 Accepting new patients
Compass Medical Center PLLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

1765 S 20th Ave
Safford, AZ 85546
Phone (928) 424-1600

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1972978377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 S RIDGEVIEW DR",
            "address_2": "SUITE 300",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648875",
            "telephone_number": "928-329-4771",
            "fax_number": "928-329-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 S RIDGEVIEW DR",
            "address_2": "SUITE 300",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648875",
            "telephone_number": "928-329-4771",
            "fax_number": "928-329-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JEREMY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.