MELISSA R BUTLER NP
NPI 1093763617
Nurse Practitioner - Adult Health in Syracuse, NY

Active since May 05, 2006PECOS Enrolled
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214(315) 251-3100(315) 449-9923 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melissa R Butler Np NPPES

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

MELISSA R BUTLER NP (NPI 1093763617) is an individual adult health provider in Syracuse, New York, licensed in New York (F302431) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093763617
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMELISSA R BUTLERCredential: NP
Location Address5719 WIDEWATERS PKWYSyracuse, NY 13214-1985
Mailing Address5824 Widewaters PkwyEast Syracuse, NY 13057-3072 · (315) 251-3105 · Fax (315) 552-6018
Fax(315) 449-9923
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 6, 2020
NPPES CertifiedJuly 6, 2020
NPI 1093763617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F302431
5719 WIDEWATERS PKWY, Syracuse, NY 13214

Other Names 1

Former Name (1)Melissa R Higgins

Other Identifiers 1

Medicaid02694526NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Melissa R Butler Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 13214 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.

Physical Therapist
5719 WIDEWATERS PKWY
DE WITT, NY 13214
Physician Assistant (Surgical)
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Physician Assistant
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Orthopaedic Surgery (Sports Medicine)
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Specialist/Technologist (Athletic Trainer)
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Orthopaedic Surgery
5719 WIDEWATERS PKWY
DE WITT, NY 13214
Occupational Therapist
5719 WIDEWATERS PKWY
DE WITT, NY 13214
Physical Therapist
5719 WIDEWATERS PKWY
DE WITT, NY 13214

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 Melissa Butler's NPI number?

The NPI number for Melissa Butler is 1093763617. It was assigned to this individual provider in the NPPES registry on May 5, 2006. The provider is also known as Melissa R Higgins.

Where is Melissa Butler located?

Melissa Butler practices at 5719 Widewaters Pkwy, Syracuse, NY 13214. The listed phone number is (315) 251-3100.

What is Melissa Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Melissa Butler enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Melissa Butler was last updated on July 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.