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KELLY BUTTS FNP-BC
NPI 1063936482
Nurse Practitioner - Acute Care in New York, NY

Active since July 27, 2017PECOS EnrolledAccepts Medicare Assignment
622 W 168TH ST, NEW YORK, NY 10032(212) 305-6494 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Jul 21, 2022, Aug 23, 2017 and 1 more (4 updates tracked since 2017).

About Kelly Butts Fnp-bc NPPES

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

KELLY BUTTS FNP-BC (NPI 1063936482) is an individual acute care provider in New York, New York, licensed in New York (432288) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063936482
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELLY BUTTSCredential: FNP-BC
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address162 Fairview Ave Apt 7Jersey City, NJ 07304-1822 · (917) 497-0715
Phone(212) 305-6494
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 27, 2017
Last NPPES UpdateSeptember 10, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1063936482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 432288
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 342011 (NY)
622 W 168TH ST, New York, NY 10032
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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

Kelly Butts Fnp-bc 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 ID3476829359
PECOS Enrollment IDI20171020000157
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
New York County (212) 305-5020
CHARLES D RESOR
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2913
MR. CALVIN KAILUN LEE NP
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0914
DI FAN CONEYBEARE M.D.
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (760) 808-2557
JONATHAN LE PHARM.D.
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 342-8645
ASHLEE A CAMPBELL
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
STEVEN ZELEFSKY
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
DR. EMILY SPIERA MD, MPH
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6262

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 Kelly Butts's NPI number?

The NPI number for Kelly Butts is 1063936482. It was assigned to this individual provider in the NPPES registry on July 27, 2017.

Where is Kelly Butts located?

Kelly Butts practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-6494.

What is Kelly Butts's specialty?

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

Is Kelly Butts enrolled in Medicare?

Yes. Kelly Butts 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.

Is Kelly Butts affiliated with any hospitals?

According to CMS data, Kelly Butts is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Butts was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.