KELSEY BUTLER
NPI 1407536774
Physician Assistant in Philadelphia, PA

Active since July 21, 2023PECOS EnrolledAccepts Medicare Assignment
600 S 43RD ST, PHILADELPHIA, PA 19104(610) 502-4531 Get Directions Write a Review

NPPES record last updated: July 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelsey Butler NPPES

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

KELSEY BUTLER (NPI 1407536774) is an individual physician assistant in Philadelphia, Pennsylvania and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407536774
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY BUTLER
Location Address600 S 43RD STPhiladelphia, PA 19104-4418
Mailing Address101 Manor Ln EYardley, PA 19067-1811
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 21, 2023
Last NPPES UpdateJuly 23, 2023
NPPES CertifiedJuly 23, 2023
NPI 1407536774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

600 S 43RD ST, Philadelphia, PA 19104

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

Kelsey Butler 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 ID9335660836
PECOS Enrollment IDI20250312001560
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 2

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

Pharmacist
600 S 43RD ST, GRIFFITH HALL #108
PHILADELPHIA, PA 19104
Pharmacist
600 S 43RD ST, BOX 8
PHILADELPHIA, PA 19104
Pharmacist (Pharmacotherapy)
600 S 43RD ST
PHILADELPHIA, PA 19104
Pharmacist
600 S 43RD ST, BOX 8
PHILADELPHIA, PA 19104
Pharmacist
600 S 43RD ST, GRIFFITH HALL 1305
PHILADELPHIA, PA 19104
Pharmacist
600 S 43RD ST
PHILADELPHIA, PA 19104
Nurse Practitioner (Family)
600 S 43RD ST, WHITECAR HALL SUITE 1200, BOX 23
PHILADELPHIA, PA 19104
Pharmacist (Ambulatory Care)
600 S 43RD ST, BOX 34
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407536774, enumerated as an "individual" on July 21, 2023.

The provider is located at 600 S 43RD ST PHILADELPHIA, PA 19104 and the phone number is (610) 502-4531.

Physician Assistant with taxonomy code 363A00000X.

Kelsey Butler is affiliated with: RIVERVIEW MEDICAL CENTER and JERSEY SHORE UNIVERSITY MEDICAL CENTER.