Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RYEN LYNN BUTLER ACNPC-AG
NPI 1346013075
Internal Medicine - Hospice and Palliative Medicine in Fredericksburg, VA

Q: What is Ryen Butler's NPI number?

The NPI number for Ryen Butler is 1346013075. It was assigned to this individual provider in the NPPES registry on November 3, 2023.

Q: What is Ryen Butler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Q: When was this NPI record last updated?

The NPPES record for Ryen Butler was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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 November 03, 2023PECOS EnrolledAccepts Medicare Assignment

4501 EMPIRE CT, FREDERICKSBURG, VA 22408(540) 371-0079(240) 656-2653 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Nov 3, 2023 (2 updates tracked since 2023).

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About Ryen Lynn Butler Acnpc-ag NPPES

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

RYEN LYNN BUTLER ACNPC-AG (NPI 1346013075) is an individual hospice and palliative medicine provider in Fredericksburg, Virginia, licensed in Virginia (0024188655) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1346013075

Entity TypeIndividualFemale

Primary Taxonomy207RH0002X

Provider Legal NameRYEN LYNN BUTLERCredential: ACNPC-AG

Location Address4501 EMPIRE CTFredericksburg, VA 22408-1949

Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (855) 963-2100 · Fax (813) 321-1296

Phone(540) 371-0079

Fax(240) 656-2653

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 3, 2023

Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration

NPPES CertifiedOctober 8, 2026

✔ NPI 1346013075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RH0002X

License✔ Licensed in VA · 0024188655

Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 0024188655 (VA)

4501 EMPIRE CT, Fredericksburg, VA 22408

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Secondary Practice Locations 3

Location 14545 Empire CtFredericksburg, VA 22408-1949 · Phone (540) 371-0079 · Fax (240) 656-2653

Location 2125 Woodstream Blvd Ste 205Stafford, VA 22556-4630 · Phone (540) 371-0079 · Fax (540) 656-2653

Location 31201 Sam Perry Blvd Ste 215Fredericksburg, VA 22401-8401 · Phone (540) 741-3111

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

Ryen Lynn Butler Acnpc-ag 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 ID7719337260

PECOS Enrollment IDI20231222002557

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.

Medicare Billing Reassignment

Medicare enrollment records show Ryen Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary Washington Healthcare Physicians

4.2 mi

Family Medicine

1001 SAM PERRY BLVD
Fredericksburg, VA 22401

Reassigned Medicare billing, Virginia enrollment
547 clinicians in this Medicare group

NPI 1295999852 (540) 741-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

45 services30 patients

Advance care planning, first 30 minutes 99497

42 services35 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services14 patients

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.

SHELBY ELIZABETH MENEZES PA

Physician Assistant