MRS. PHYLLIS SUSAN BUTLER APN-C - NPI 1639461189 - Nurse Practitioner in Rogers, AR

Q: What is Phyllis Butler's NPI number?

The NPI number for Phyllis Butler is 1639461189. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Q: What is Phyllis Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Phyllis Butler was last updated on May 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Phyllis Susan Butler Apn-c NPPES

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

MRS. PHYLLIS SUSAN BUTLER APN-C (NPI 1639461189) is an individual adult health provider in Rogers, Arkansas, licensed in Arkansas (A03401 ANP) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1639461189

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. PHYLLIS SUSAN BUTLERCredential: APN-C

Location Address4313 S PLEASANT CROSSING BLVDRogers, AR 72758-1347

Mailing Address860 Highway 62 E Ste 10Mountain Home, AR 72653-3200 · (870) 424-3181 · Fax (870) 424-3089

Phone(479) 947-4003

Fax(870) 424-3089

Sole ProprietorYes

Enumeration DateMay 3, 2011

Last NPPES UpdateMay 4, 20263 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1639461189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in AR · A03401 ANP

4313 S PLEASANT CROSSING BLVD, Rogers, AR 72758

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Secondary Practice Locations 3

Location 1620 N MainHarrison, AR 72601 · Phone (870) 414-4511

Location 2609 W Maple AveSpringdale, AR 72764 · Phone (870) 743-4263

Location 31660 W Garton RoadOzark, MO 65721 · Phone (877) 749-7428

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Phyllis Susan Butler Apn-c 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 72758 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.