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MRS. SONDRA ANN BUTLER MSN, PMHNP-BC
NPI 1225466469
Nurse Practitioner - Psychiatric/Mental Health in Cincinnati, OH

Active since October 25, 2013PECOS EnrolledAccepts Medicare Assignment
2727 MADISON RD STE 304, CINCINNATI, OH 45209(513) 533-6463(513) 533-6462 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2024, Mar 18, 2020, May 17, 2016 and 1 more (4 updates tracked since 2016).

About Mrs. Sondra Ann Butler Msn, Pmhnp-bc NPPES

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

MRS. SONDRA ANN BUTLER MSN, PMHNP-BC (NPI 1225466469) is an individual psychiatric/mental health provider in Cincinnati, Ohio, licensed in Ohio (RN328025) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225466469
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SONDRA ANN BUTLERCredential: MSN, PMHNP-BC
Location Address2727 MADISON RD STE 304Cincinnati, OH 45209-2271
Mailing Address2727 Madison Rd Ste 304Cincinnati, OH 45209-2271 · (513) 533-6463 · Fax (513) 533-6462
Phone(513) 533-6463
Fax(513) 533-6462
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 25, 2013
Last NPPES UpdateJuly 16, 20244 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1225466469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · RN328025
Also ListedRegistered NurseTaxonomy 163W00000X · License RN328025 (OH)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License COA.19043NP (OH)
2727 MADISON RD STE 304, Cincinnati, OH 45209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Mrs. Sondra Ann Butler Msn, Pmhnp-bc 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 ID3375834104
PECOS Enrollment IDI20160624001065
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 Sondra Butler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthy Minds Psychiatric Services LLC
Same address
Psychiatric/Mental Health
2727 MADISON RD STE 304
Cincinnati, OH 45209
  • Reassigned Medicare billing, Ohio enrollment
NPI 1174191316 (513) 885-0617
Arvind Modawal MD Inc
16 mi
Geriatric Medicine
7235 HERITAGESPRING DR
West Chester, OH 45069
  • Reassigned Medicare billing, Ohio enrollment
  • 7 clinicians in this Medicare group
NPI 1538570163 (513) 759-6846
Mobile Medical, Inc.
171 mi
Podiatrist
740 COMMERCE DR STE A
Perrysburg, OH 43551
  • Reassigned Medicare billing, Ohio enrollment
  • 166 clinicians in this Medicare group
NPI 1003066747 (502) 244-2420

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45209 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.

Other Providers at the Same Location NPPES

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

HEALTHY MINDS PSYCHIATRIC SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
2727 MADISON RD STE 304
CINCINNATI, OH 45209
Hamilton County (513) 885-0617

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 Sondra Butler's NPI number?

The NPI number for Sondra Butler is 1225466469. It was assigned to this individual provider in the NPPES registry on October 25, 2013.

Where is Sondra Butler located?

Sondra Butler practices at 2727 Madison Rd Ste 304, Cincinnati, OH 45209. The listed phone number is (513) 533-6463.

What is Sondra Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sondra Butler enrolled in Medicare?

Yes. Sondra 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.

Which organizations bill Medicare for Sondra Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sondra Butler reassigns Medicare benefits to 3 organizations: Healthy Minds Psychiatric Services LLC (Cincinnati, OH), Arvind Modawal MD Inc (West Chester, OH) and Mobile Medical, Inc. (Perrysburg, 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 Sondra Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sondra Butler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Sondra 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 Sondra Butler was last updated on July 16, 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.