KAYLA GRACE BUTLER DNP FNP
NPI 1093604761
Nurse Practitioner - Family in Syracuse, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kayla Grace Butler Dnp Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kayla Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 156 clinicians in this Medicare group
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 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.
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.
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 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.
Where is Kayla Butler located?
Kayla Butler practices at 1045 James St Ste 100, Syracuse, NY 13203. The listed phone number is (315) 472-4471.
What is Kayla Butler's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kayla Butler enrolled in Medicare?
Yes. Kayla Butler 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.
Which organization bills Medicare for Kayla Butler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Butler reassigns Medicare benefits to Liberty Resources Inc. (Syracuse, NY). The 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 Kayla Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 13 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.
# Kayla Grace Butler, DNP FNP · NPI 1093604761
Family physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since June 30, 2025.
## Identity
- **NPI:** 1093604761 (Entity type: Individual)
- **Enumerated:** June 30, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F356841 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1045 JAMES ST STE 100, Syracuse, NY 13203-2758
- **Phone:** (315) 472-4471
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Liberty Resources Inc. (NPI 1225254881, Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 2025
## Record status
- **NPPES last updated:** October 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093604761) · Data from the CMS NPPES public registry.