MR. JESSE VAN BUTLER PA-C
NPI 1376557769
Physician Assistant - Surgical in Decorah, IA

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
901 MONTGOMERY ST, DECORAH, IA 52101(563) 382-2911(563) 387-1512 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jesse Van Butler Pa-c NPPES

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

MR. JESSE VAN BUTLER PA-C (NPI 1376557769) is an individual surgical provider in Decorah, Iowa, licensed in Minnesota (10116) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Regional Health Services Of Howard County, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1376557769
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JESSE VAN BUTLERCredential: PA-C
Location Address901 MONTGOMERY STDecorah, IA 52101-2325
Mailing Address901 Montgomery StDecorah, IA 52101-2325 · (563) 382-2911 · Fax (563) 387-1512
Fax(563) 387-1512
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 28, 2006
Last NPPES UpdateMarch 8, 2011
NPI 1376557769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MN · 10116
901 MONTGOMERY ST, Decorah, IA 52101

Other Identifiers 5

Medicare ID-Type UnspecifiedI14292IA · Medicare
Medicaid0446294IA
Medicare UPINQ32437
Other001606IA · License
Other10116MN · License

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

Mr. Jesse Van Butler Pa-c 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 ID547218331
PECOS Enrollment IDI20050107000890
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.

Hospital Affiliations CMS Care Compare 2

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

Regional Health Services Of Howard County

Critical Access Hospitals · Cresco, IA
OwnershipGovernment - Local
CMS Certification Number161328
Location235 8th Avenue WestCresco, IA 52136 · Howard County
Emergency services Birthing friendly

Winnmed

Critical Access Hospitals · Decorah, IA
OwnershipGovernment - Local
CMS Certification Number161371
Location901 Montgomery StreetDecorah, IA 52101 · Winneshiek County
Emergency services

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Family Medicine
901 MONTGOMERY ST
DECORAH, IA 52101
Physician Assistant
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Practitioner
901 MONTGOMERY ST
DECORAH, IA 52101
Specialist/Technologist (Athletic Trainer)
901 MONTGOMERY ST
DECORAH, IA 52101
Family Medicine
901 MONTGOMERY ST
DECORAH, IA 52101
Pathology (Anatomic Pathology & Clinical Pathology)
901 MONTGOMERY ST
DECORAH, IA 52101

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 Jesse Butler's NPI number?

The NPI number for Jesse Butler is 1376557769. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Jesse Butler located?

Jesse Butler practices at 901 Montgomery St, Decorah, IA 52101. The listed phone number is (563) 382-2911.

What is Jesse Butler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jesse Butler enrolled in Medicare?

Yes. Jesse 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 Jesse Butler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Jesse 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 Jesse Butler affiliated with any hospitals?

According to CMS data, Jesse Butler is affiliated with Regional Health Services Of Howard County and Winnmed.

When was this NPI record last updated?

The NPPES record for Jesse Butler was last updated on March 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.