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TONYA M BUTLER NP
NPI 1356994123
Nurse Practitioner - Psychiatric/Mental Health in Westfield, IN

Active since July 22, 2019PECOS EnrolledAccepts Medicare Assignment
223 JERSEY ST, WESTFIELD, IN 46074(317) 207-6387(463) 464-3005 Get Directions Write a Review

NPPES record last updated: May 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 17, 2026, Mar 1, 2022, Nov 11, 2021 and 3 more (6 updates tracked since 2019).

About Tonya M Butler Np NPPES

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

TONYA M BUTLER NP (NPI 1356994123) is an individual psychiatric/mental health provider in Westfield, Indiana, licensed in Indiana (71009150A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2019).

NPPES Registry Identity

NPI1356994123
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTONYA M BUTLERCredential: NP
Location Address223 JERSEY STWestfield, IN 46074-9187
Mailing Address223 Jersey StWestfield, IN 46074-9187 · (317) 207-6387 · Fax (463) 464-3005
Phone(317) 207-6387
Fax(463) 464-3005
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2019
Enumeration DateJuly 22, 2019
Last NPPES UpdateMay 17, 20266 updates tracked since enumeration
NPPES CertifiedMay 17, 2026
✔ NPI 1356994123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71009150A
223 JERSEY ST, Westfield, IN 46074
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Tonya M 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 ID1951638832
PECOS Enrollment IDI20190815000862
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

4

Medicare enrollment records show Tonya Butler reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Health And Hospital Corporation Of Marion County
12 mi
Federally Qualified Health Center (FQHC)
6940 MICHIGAN RD STE 140
Indianapolis, IN 46268
  • Reassigned Medicare billing, Indiana enrollment
  • 564 clinicians in this Medicare group
NPI 1093054447 (317) 266-2901
Indiana University Health Care Associates, Inc.
17 mi
Dietitian, Registered
1800 N CAPITOL AVE, B445
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1679949002 (317) 944-3500
Indiana Behavioral Innovations LLC
27 mi
Psychiatric Hospital
1051 SOUTHFIELD DR
Plainfield, IN 46168
  • Reassigned Medicare billing, Indiana enrollment
  • 15 clinicians in this Medicare group
NPI 1922614825 (844) 991-9900
Indiana University Health Bloomington Inc
59 mi
Psychiatry
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 47 clinicians in this Medicare group
NPI 1871519074 (812) 353-5252

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 46074 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

LENTZ COUNSELING LLC
Clinic/Center (Adult Mental Health)
223 JERSEY ST
WESTFIELD, IN 46074
Hamilton County (317) 900-3609

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 Tonya Butler's NPI number?

The NPI number for Tonya Butler is 1356994123. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Tonya Butler located?

Tonya Butler practices at 223 Jersey St, Westfield, IN 46074. The listed phone number is (317) 207-6387.

What is Tonya Butler's specialty?

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

Is Tonya Butler enrolled in Medicare?

Yes. Tonya 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 Tonya Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Butler reassigns Medicare benefits to 4 organizations: The Health And Hospital Corporation Of Marion County (Indianapolis, IN), Indiana University Health Care Associates, Inc. (Indianapolis, IN), Indiana Behavioral Innovations LLC (Plainfield, IN) and Indiana University Health Bloomington Inc (Bloomington, IN). 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 Tonya Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Butler accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Tonya 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 Tonya Butler was last updated on May 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.