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SHELLIE ROSE BUTLER FNP
NPI 1033898416
Nurse Practitioner - Family in Cumberland Gap, TN

Active since July 13, 2023PECOS Enrolled
779 HIGHWAY 63 STE 1, CUMBERLAND GAP, TN 37724(423) 919-9886(423) 919-9887 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2025, Jul 20, 2023, Jul 13, 2023 (3 updates tracked since 2023).

About Shellie Rose Butler Fnp NPPES

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

SHELLIE ROSE BUTLER FNP (NPI 1033898416) is an individual family provider in Cumberland Gap, Tennessee, licensed in Tennessee (34156) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2023).

NPPES Registry Identity

NPI1033898416
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELLIE ROSE BUTLERCredential: FNP
Location Address779 HIGHWAY 63 STE 1Cumberland Gap, TN 37724-4116
Mailing Address400 Mountain LaneNew Tazewell, TN 37825 · (865) 382-0690
Phone(423) 919-9886
Fax(423) 919-9887
Sole ProprietorYes
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2023
Enumeration DateJuly 13, 2023
Last NPPES UpdateMay 16, 20253 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1033898416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 34156
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 34156 (TN)
779 HIGHWAY 63 STE 1, Cumberland Gap, TN 37724
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shellie Rose Butler Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466813712
PECOS Enrollment IDI20240118003402
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shellie Butler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kentucky Friendly Care Center, Inc.
5.0 mi
Rural Health
125 LOTHBURY AVENUE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1467939066 (606) 248-5322
Cardinal Health PLLC
160 mi
Family Medicine
9600 LAMBORNE BLVD
Louisville, KY 40272
  • Reassigned Medicare billing, Kentucky enrollment
  • 20 clinicians in this Medicare group
NPI 1265384077 (385) 207-9919

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37724 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 2

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

JESSICA R CHITTUM FNP-BC
Nurse Practitioner (Family)
779 HIGHWAY 63 STE 1
CUMBERLAND GAP, TN 37724
Claiborne County (423) 919-9886
CHRISTINE MARIE VASS PA-C
Physician Assistant
779 HIGHWAY 63 STE 1
CUMBERLAND GAP, TN 37724
Claiborne County (423) 919-9886

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 Shellie Butler's NPI number?

The NPI number for Shellie Butler is 1033898416. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Shellie Butler located?

Shellie Butler practices at 779 Highway 63 Ste 1, Cumberland Gap, TN 37724. The listed phone number is (423) 919-9886.

What is Shellie Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shellie Butler enrolled in Medicare?

Yes. Shellie Butler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shellie Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shellie Butler reassigns Medicare benefits to 2 organizations: Kentucky Friendly Care Center, Inc. (Middlesboro, KY) and Cardinal Health PLLC (Louisville, KY). Each 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 Shellie Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shellie Butler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Shellie 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 Shellie Butler was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.