MARCIE ELLIS BUTKOVIC (CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1326413832

MARCIE ELLIS BUTKOVIC (CNP) is a healthcare provider. based in Springvale, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. CNP151104 (ME). The NPI Number for MARCIE ELLIS BUTKOVIC (CNP) is 1326413832

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MARCIE ELLIS BUTKOVIC (CNP)
NPI
1326413832
Phone
(207) 490-6900
Address
15 OAK ST
Enumeration Date
9 December 2015
Last Update Date
12 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2074906900
Graduation Year
2015 (11 years ago)
PAC ID
9234433277
Group Practice PAC ID
5496701153
Professional Enrollment ID
I20160211000502
Address ID
ME040831926SP15XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

1,871 NURSE PRACTITIONER in ME

Provider Addresses for MARCIE ELLIS BUTKOVIC (CNP)

  • 15 OAK ST

    SPRINGVALE, ME 040831926

    Phone: (207) 490-6900

    Fax: (207) 459-2822

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160211000502INurse PractitionerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04083)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496701153View full group profile
NameSpecialtyState
Physician AssistantIL
-ME
Family PracticeAZ
-LA
Nurse PractitionerME
Clinical Social WorkerME
Nurse PractitionerME
Nurse PractitionerME
Clinical Social WorkerME
Nurse PractitionerME

Reviews

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Frequently asked questions

What NPI should I save for MARCIE ELLIS BUTKOVIC (CNP)?
Save NPI 1326413832 if you need a stable reference for MARCIE ELLIS BUTKOVIC (CNP).
Is MARCIE ELLIS BUTKOVIC (CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MARCIE ELLIS BUTKOVIC (CNP) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for MARCIE ELLIS BUTKOVIC (CNP). Clinical services aligned with this taxonomy classification.
Where does public data place MARCIE ELLIS BUTKOVIC (CNP)?
The snapshot lists Springvale, Maine for MARCIE ELLIS BUTKOVIC (CNP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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