KAYLA GRACE BUTLER DNP FNP
NPI 1093604761
Nurse Practitioner - Family in Syracuse, NY

Q: What is Kayla Butler's NPI number?

The NPI number for Kayla Butler is 1093604761. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Q: What is Kayla Butler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kayla Butler was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 30, 2025PECOS Enrolled

1045 JAMES ST STE 100, SYRACUSE, NY 13203(315) 472-4471 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Jun 30, 2025 (2 updates tracked since 2025).

On this page

About Kayla Grace Butler Dnp Fnp NPPES

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

KAYLA GRACE BUTLER DNP FNP (NPI 1093604761) is an individual family provider in Syracuse, New York, licensed in New York (F356841) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2025).

NPPES Registry Identity

NPI1093604761

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKAYLA GRACE BUTLERCredential: DNP FNP

Location Address1045 JAMES ST STE 100Syracuse, NY 13203-2758

Mailing Address1045 James St Ste 100Syracuse, NY 13203-2758 · (315) 425-1004 · Fax (315) 679-5990

Phone(315) 472-4471

Sole ProprietorYes

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2025

Enumeration DateJune 30, 2025

Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1093604761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F356841

1045 JAMES ST STE 100, Syracuse, NY 13203

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Grace Butler Dnp Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103324637

PECOS Enrollment IDI20250813001183

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

MS. HEIDI M ZIERVOGEL LMSW

Social Worker