JASON MICHAEL BUTLER NP
NPI 1417467168
Nurse Practitioner - Adult Health in Richland, MS
About Jason Michael Butler Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON MICHAEL BUTLER NP (NPI 1417467168) is an individual adult health provider in Richland, Mississippi, licensed in Mississippi (902078) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jason Michael Butler Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jason Butler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ridgeland, MS 39157
- Reassigned Medicare billing, Mississippi enrollment
- 37 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Mississippi enrollment
- 195 clinicians in this Medicare group
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 39218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jason Butler's NPI number?
The NPI number for Jason Butler is 1417467168. It was assigned to this individual provider in the NPPES registry on October 9, 2017.
Where is Jason Butler located?
Jason Butler practices at 129 Center St Ste B, Richland, MS 39218. The listed phone number is (769) 233-7141.
What is Jason Butler's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jason Butler enrolled in Medicare?
Yes. Jason Butler is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jason Butler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Butler reassigns Medicare benefits to 2 organizations: Southern Medical Consultants LLC (Ridgeland, MS) and Community Care Health Network LLC (Nashville, TN). 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 Jason Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Butler accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Jason 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 Jason Butler was last updated on October 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Jason Michael Butler, NP · NPI 1417467168
Adult Health physician in Richland, Mississippi. Individual provider, active in the CMS NPPES registry since October 9, 2017.
## Identity
- **NPI:** 1417467168 (Entity type: Individual)
- **Enumerated:** October 9, 2017
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 902078 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 129 CENTER ST STE B, Richland, MS 39218-4800
- **Phone:** (769) 233-7141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern Medical Consultants LLC (NPI 1215396577, Ridgeland, MS); Community Care Health Network LLC (NPI 1619368842, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1417467168) · Data from the CMS NPPES public registry.