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ALLISON BUTLER CNP
NPI 1043989577
Nurse Practitioner - Family in Frankfort, OH

Active since September 08, 2021PECOS Enrolled
12 N MAIN ST, FRANKFORT, OH 45628(740) 998-9058(740) 998-9057 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2026, Jul 8, 2022, Dec 15, 2021 and 1 more (4 updates tracked since 2021).

About Allison Butler Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLISON BUTLER CNP (NPI 1043989577) is an individual family provider in Frankfort, Ohio, licensed in Ohio (APRN.CNP.0029718) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043989577
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALLISON BUTLERCredential: CNP
Location Address12 N MAIN STFrankfort, OH 45628
Mailing Address12 N Main St, Po Box 140Frankfort, OH 45628 · (740) 998-9058 · Fax (740) 998-9057
Phone(740) 998-9058
Fax(740) 998-9057
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 8, 2021
Last NPPES UpdateJanuary 26, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1043989577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0029718
12 N MAIN ST, Frankfort, OH 45628
Open in Google Maps ↗

Other Identifiers 1

Medicaid0470223OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allison Butler Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517359771
PECOS Enrollment IDI20220120000089
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Allison Butler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cornerstone Family Healthcare LLC
Same address
Primary Care
12 N MAIN STREET
Frankfort, OH 45628
  • Reassigned Medicare billing, Ohio enrollment
NPI 1366338618 (740) 998-9058
Adena Medical Group LLC
11 mi
Family Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 763 clinicians in this Medicare group
NPI 1235468083 (740) 779-7500
Cg Medical Associates Inc
67 mi
Urgent Care
7300 BEECHMONT AVE
Cincinnati, OH 45230
  • Reassigned Medicare billing, Ohio enrollment
  • 329 clinicians in this Medicare group
NPI 1982903951 (513) 232-9100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45628 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allison Butler's NPI number?

The NPI number for Allison Butler is 1043989577. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Allison Butler located?

Allison Butler practices at 12 N Main St, Frankfort, OH 45628. The listed phone number is (740) 998-9058.

What is Allison Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Allison Butler enrolled in Medicare?

Yes. Allison Butler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Allison Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allison Butler reassigns Medicare benefits to 3 organizations: Cornerstone Family Healthcare LLC (Frankfort, OH), Adena Medical Group LLC (Chillicothe, OH) and Cg Medical Associates Inc (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Allison Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allison Butler accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and Oscar Health Insurance list Allison Butler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allison Butler was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.