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MICHELLE O BUTLER ACNP
NPI 1831440023
Nurse Practitioner - Acute Care in Foley, AL

Active since September 27, 2012PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
1613 N MCKENZIE ST, FOLEY, AL 36535(251) 949-3710(251) 949-3715 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2022, Jul 25, 2022, Mar 12, 2021 (3 updates tracked since 2021).

About Michelle O Butler Acnp NPPES

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

MICHELLE O BUTLER ACNP (NPI 1831440023) is an individual acute care provider in Foley, Alabama, licensed in Alabama (1-183080) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mobile, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1831440023
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMICHELLE O BUTLERCredential: ACNP
Location Address1613 N MCKENZIE STFoley, AL 36535-2247
Mailing Address1613 N Mckenzie StFoley, AL 36535-2247 · (251) 949-3710 · Fax (251) 949-3715
Phone(251) 949-3710
Fax(251) 949-3715
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 27, 2012
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1831440023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in AL · 1-183080✔ Licensed in LA · AP07041
1613 N MCKENZIE ST, Foley, AL 36535
Open in Google Maps ↗

Secondary Practice Location 1

Location 12451 University Hospital Drive, Mastin 101Mobile, AL 36617-2300 · Phone (251) 445-8282 · Fax (251) 445-8281

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare.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

Michelle O Butler Acnp 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 ID3577716299
PECOS Enrollment IDI20210430000850
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
138 services63 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
61 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36535 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. JOHN J CAMPBELL M.D.
Radiology (Diagnostic Radiology)
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-1513
MRS. SHARON ELAINE CHRISTOPHER CRNA
Nurse Anesthetist, Certified Registered
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 971-1028
GRACE ANN RILEY DOUCET
Student in an Organized Health Care Education/Training Program
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3400
M AND M ANESTHESIOLOGY PA
Anesthesiology
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3400
IES ALABAMA PLLC
Emergency Medicine
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3540
FOLEY HOSPITAL COMPANY LLC
General Acute Care Hospital
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3400
SOUTH BALDWIN DIAGNOSTIC IMAGINE ASSOCIATES, P.C.
Specialist
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-1513
MARK T. KNOWER M.D.
Internal Medicine (Pulmonary Disease)
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3710

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 Michelle Butler's NPI number?

The NPI number for Michelle Butler is 1831440023. It was assigned to this individual provider in the NPPES registry on September 27, 2012.

Where is Michelle Butler located?

Michelle Butler practices at 1613 N Mckenzie St, Foley, AL 36535. The listed phone number is (251) 949-3710.

What is Michelle Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Michelle Butler enrolled in Medicare?

Yes. Michelle 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 Michelle Butler accept?

Health plans from Blue Cross and Blue Shield of Alabama and Molina Healthcare list Michelle 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 Michelle Butler was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.