STACY R BUTLER
NPI 1710632625
Nurse Practitioner in Fort Wayne, IN
About Stacy R Butler NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY R BUTLER (NPI 1710632625) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71012324A) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacy R Butler 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.
Medicare Billing Reassignment
Medicare enrollment records show Stacy Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46845
- Reassigned Medicare billing, Indiana enrollment
- 1,752 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkview Regional Medical Center
Acute Care Hospitals · Fort Wayne, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
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 Stacy Butler's NPI number?
The NPI number for Stacy Butler is 1710632625. It was assigned to this individual provider in the NPPES registry on February 18, 2022.
Where is Stacy Butler located?
Stacy Butler practices at 11104 Parkview Circle Dr Ste 10, Fort Wayne, IN 46845. The listed phone number is (260) 425-6070.
What is Stacy Butler's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Stacy Butler enrolled in Medicare?
Yes. Stacy 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.
Which organization bills Medicare for Stacy Butler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Butler reassigns Medicare benefits to Parkview Health System,inc. (Fort Wayne, IN). The 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 Stacy Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Butler accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Stacy 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 Stacy Butler affiliated with any hospitals?
According to CMS data, Stacy Butler is affiliated with Parkview Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Stacy Butler was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Stacy R Butler · NPI 1710632625
Nurse Practitioner physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since February 18, 2022.
## Identity
- **NPI:** 1710632625 (Entity type: Individual)
- **Enumerated:** February 18, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71012324A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 11104 PARKVIEW CIRCLE DR STE 10, Fort Wayne, IN 46845-1733
- **Phone:** (260) 425-6070 · **Fax:** (260) 425-6073
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Parkview Health System,inc. (NPI 1437461449, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710632625) · Data from the CMS NPPES public registry.