AVANDY MEDICAL BUTTRUM PLLC
NPI 1043969405
Family Medicine in Henderson, NV
About Avandy Medical Buttrum Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVANDY MEDICAL BUTTRUM PLLC (NPI 1043969405) is a healthcare organization registered as a family medicine in Henderson, Nevada and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Mandy Buttrum, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avandy Medical Buttrum Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Avandy Medical Buttrum PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Henderson, NV 89052
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 29D2262935
Avandy Medical · Henderson, NVFrequently 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 Avandy Medical Buttrum PLLC's NPI number?
The NPI number for Avandy Medical Buttrum PLLC is 1043969405. It was assigned to this organization in the NPPES registry on March 22, 2022.
Where is Avandy Medical Buttrum PLLC located?
Avandy Medical Buttrum PLLC is located at 660 S Green Valley Pkwy Ste 130, Henderson, NV 89052. The listed phone number is (702) 508-2453.
What is Avandy Medical Buttrum PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Avandy Medical Buttrum PLLC enrolled in Medicare?
Yes. Avandy Medical Buttrum PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avandy Medical Buttrum PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Avandy Medical Buttrum PLLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (2). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Avandy Medical Buttrum PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D2262935) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Avandy Medical Buttrum PLLC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Avandy Medical Buttrum PLLC 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 Avandy Medical Buttrum PLLC was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Avandy Medical Buttrum Pllc · NPI 1043969405
Family Medicine organization in Henderson, Nevada. Organization record, active in the CMS NPPES registry since March 22, 2022.
## Identity
- **NPI:** 1043969405 (Entity type: Organization)
- **Enumerated:** March 22, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mandy Buttrum, OWNER
## Practice location
- **Address:** 660 S GREEN VALLEY PKWY STE 130, Henderson, NV 89052-0431
- **Phone:** (702) 508-2453 · **Fax:** (702) 508-2435
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2022
- **Other identifiers:** Other 15199 (NV)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043969405) · Data from the CMS NPPES public registry.