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JASON MICHAEL BUTLER NP
NPI 1417467168
Nurse Practitioner - Adult Health in Richland, MS

Active since October 09, 2017PECOS Enrolled
129 CENTER ST STE B, RICHLAND, MS 39218(769) 233-7141 Get Directions Write a Review

NPPES record last updated: October 9, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1417467168
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJASON MICHAEL BUTLERCredential: NP
Location Address129 CENTER ST STE BRichland, MS 39218-4800
Mailing Address314 Cypress Creek RdBrandon, MS 39047-7989 · (601) 421-1128
Phone(769) 233-7141
Sole ProprietorNo
Enumeration DateOctober 9, 2017
✔ NPI 1417467168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MS · 902078
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 902078 (MS)
129 CENTER ST STE B, Richland, MS 39218
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Michael Butler Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 4

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

SAMANTHA DANIELLE STATHAM NP
Nurse Practitioner
129 CENTER ST STE B
RICHLAND, MS 39218
Rankin County (769) 233-7141
MICHAEL HOLGER ALBERT MD
Family Medicine
129 CENTER ST STE B
RICHLAND, MS 39218
Rankin County (692) 337-1417
MEDICAL SYSTEMS MANAGEMENT LLC
Clinic/Center (Rural Health)
129 CENTER ST STE B
RICHLAND, MS 39218
Rankin County (601) 992-9898
TINA D HIGHFILL FNP-BC
Nurse Practitioner (Family)
129 CENTER ST STE B
RICHLAND, MS 39218
Rankin County (769) 233-7141

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.

When was this NPI record last updated?

The NPPES record for Jason Butler was last updated on October 9, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.