JUSTIN BUTLER PMHNP-BC
NPI 1538989264
Nurse Practitioner - Psychiatric/Mental Health in Orange Park, FL

Active since October 16, 2024PECOS EnrolledAccepts Medicare Assignment
1542 KINGSLEY AVE STE 136-137, ORANGE PARK, FL 32073(239) 690-6906 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Butler Pmhnp-bc NPPES

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

JUSTIN BUTLER PMHNP-BC (NPI 1538989264) is an individual psychiatric/mental health provider in Orange Park, Florida, licensed in Florida (11035870) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1538989264
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJUSTIN BUTLERCredential: PMHNP-BC
Location Address1542 KINGSLEY AVE STE 136-137Orange Park, FL 32073-4586
Mailing Address4153 Fishing Creek LnMiddleburg, FL 32068-3986 · (904) 210-4701
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 16, 2024
NPPES CertifiedOctober 9, 2024
NPI 1538989264 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 FL · 11035870
1542 KINGSLEY AVE STE 136-137, Orange Park, FL 32073

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

Justin Butler 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 ID2264966811
PECOS Enrollment IDI20241105003620
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 32073 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 5

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

Nurse Practitioner (Psychiatric/Mental Health)
1542 KINGSLEY AVE STE 136-137
ORANGE PARK, FL 32073
Nurse Practitioner (Psychiatric/Mental Health)
1542 KINGSLEY AVE STE 136-137
ORANGE PARK, FL 32073
Psychiatry & Neurology (Psychiatry)
1542 KINGSLEY AVE STE 136-137
ORANGE PARK, FL 32073
Nurse Practitioner (Psychiatric/Mental Health)
1542 KINGSLEY AVE STE 136-137
ORANGE PARK, FL 32073
Social Worker (Clinical)
1542 KINGSLEY AVE STE 136-137
ORANGE PARK, FL 32073

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 Justin Butler's NPI number?

The NPI number for Justin Butler is 1538989264. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Justin Butler located?

Justin Butler practices at 1542 Kingsley Ave Ste 136-137, Orange Park, FL 32073. The listed phone number is (239) 690-6906.

What is Justin Butler's specialty?

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

Is Justin Butler enrolled in Medicare?

Yes. Justin 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 Justin Butler accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Justin 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 Justin Butler was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.