MRS. CHERYL LEA BUTLER NP
NPI 1073010229
Nurse Practitioner - Family in Beaver Dam, WI

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment
75.66/100
CMS Quality Rating
120 PARK AVE STE 1, BEAVER DAM, WI 53916(920) 885-5225(920) 356-6419 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2018, Apr 12, 2018 (2 updates tracked since 2018).

About Mrs. Cheryl Lea Butler Np NPPES

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

MRS. CHERYL LEA BUTLER NP (NPI 1073010229) is an individual family provider in Beaver Dam, Wisconsin, licensed in Wisconsin (8342-33) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Beaver Dam (mmc-bd), and maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1073010229
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CHERYL LEA BUTLERCredential: NP
Location Address120 PARK AVE STE 1Beaver Dam, WI 53916-2132
Mailing Address120 Park Ave Ste 1Beaver Dam, WI 53916-2132 · (920) 885-5225 · Fax (920) 356-6419
Fax(920) 356-6419
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 12, 2018
Last NPPES UpdateJanuary 11, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
NPI 1073010229 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 WI · 8342-33
120 PARK AVE STE 1, Beaver Dam, WI 53916

Secondary Practice Location 1

Location 1123 Hospital Dr Ste 2002Watertown, WI 53098-3320 · Phone (920) 885-5225 · Fax (920) 356-6419

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Cheryl Lea Butler Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608131008
PECOS Enrollment IDI20180606002220
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.

Areas of Expertise CMS Part B claims 4

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 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.
329 services279 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
39 services33 patients
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.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.27
Promoting Interoperability99
Improvement Activities40
Cost50.45

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers18 claims51 services$5.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
120 PARK AVE STE 1
BEAVER DAM, WI 53916
Audiologist
120 PARK AVE STE 1
BEAVER DAM, WI 53916
Physician Assistant
120 PARK AVE STE 1
BEAVER DAM, WI 53916
Otolaryngology
120 PARK AVE STE 1
BEAVER DAM, WI 53916

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 Cheryl Butler's NPI number?

The NPI number for Cheryl Butler is 1073010229. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Cheryl Butler located?

Cheryl Butler practices at 120 Park Ave Ste 1, Beaver Dam, WI 53916. The listed phone number is (920) 885-5225.

What is Cheryl Butler's specialty?

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

Is Cheryl Butler enrolled in Medicare?

Yes. Cheryl Butler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cheryl Butler accept?

Health plans from MercyCare Health Plans, Quartz and Security Health Plan list Cheryl 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.

Is Cheryl Butler affiliated with any hospitals?

According to CMS data, Cheryl Butler is affiliated with Marshfield Medical Center - Beaver Dam (mmc-Bd).

When was this NPI record last updated?

The NPPES record for Cheryl Butler was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.