LOGAN BUTLER (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316634587

LOGAN BUTLER (PMHNP-BC) is a healthcare provider. based in Dover, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 33838 (TN). The NPI Number for LOGAN BUTLER (PMHNP-BC) is 1316634587

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN BUTLER (PMHNP-BC)
NPI
1316634587
Phone
(615) 613-2772
Address
123 SPARROW LN
Enumeration Date
19 April 2023
Last Update Date
11 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7312656025
Graduation Year
2023 (3 years ago)
PAC ID
4880131143
Group Practice PAC ID
5991065427
Professional Enrollment ID
I20240805000497
Address ID
TN383052089JA37XXXCIRX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

Provider Addresses for LOGAN BUTLER (PMHNP-BC)

  • 123 SPARROW LN

    DOVER, TN 370585560

    Phone: (615) 613-2772

    Type: Mailing

  • 603 W IRIS DR

    NASHVILLE, TN 372043120

    Phone: (615) 538-5981

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Braeburn Inc. ($47).

Total Amount

$64

General + Research + Ownership

Payments

3

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-05

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
I20240805000497INurse PractitionerTNTBD

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 37058)

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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: 5991065427View full group profile
NameSpecialtyState
-TN
Internal Medicine, Addiction MedicineTN
Addiction Medicine, Family PracticeTN
Nurse PractitionerMS
-TN
Family Practice, Addiction MedicineTN
Nurse PractitionerTN
P S Y C H I A T R YMS

Reviews

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Frequently asked questions

What unique ID ties claims to LOGAN BUTLER (PMHNP-BC)?
NPI 1316634587 is assigned to LOGAN BUTLER (PMHNP-BC) under the national enumeration system.
Is LOGAN BUTLER (PMHNP-BC)'s NPI currently valid?
The extract we use shows LOGAN BUTLER (PMHNP-BC) as active.
What kind of provider is LOGAN BUTLER (PMHNP-BC)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for LOGAN BUTLER (PMHNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for LOGAN BUTLER (PMHNP-BC)?
The page summarizes Dover, Tennessee for LOGAN BUTLER (PMHNP-BC); expand the address list for detail.
What if Dover, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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