MR. GARY BUTLER II CRNP
NPI 1417434358
Nurse Practitioner - Family in Eureka, CA
About Mr. Gary Butler Ii Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GARY BUTLER II CRNP (NPI 1417434358) is an individual family provider in Eureka, California, licensed in California (NP95026554) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
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
Mr. Gary Butler Ii Crnp 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 Reassignments
2Medicare enrollment records show Gary Butler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eureka, CA 95501
- Reassigned Medicare billing, California enrollment
- 175 clinicians in this Medicare group
Washington, PA 15301
- Reassigned Medicare billing, Pennsylvania enrollment
- 88 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 95501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Gary Butler's NPI number?
The NPI number for Gary Butler is 1417434358. It was assigned to this individual provider in the NPPES registry on July 24, 2018.
Where is Gary Butler located?
Gary Butler practices at 2200 Tydd St, Eureka, CA 95501. The listed phone number is (707) 441-1624.
What is Gary Butler's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gary Butler enrolled in Medicare?
Yes. Gary 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 organizations bill Medicare for Gary Butler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Butler reassigns Medicare benefits to 2 organizations: Open Door Community Health Centers (Eureka, CA) and Centerville Clinics Inc (Washington, PA). Each 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 Gary 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 Gary Butler was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Gary Butler II, CRNP · NPI 1417434358
Family physician in Eureka, California. Individual provider, active in the CMS NPPES registry since July 24, 2018.
## Identity
- **NPI:** 1417434358 (Entity type: Individual)
- **Enumerated:** July 24, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95026554 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2200 TYDD ST, Eureka, CA 95501-1284
- **Phone:** (707) 441-1624
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Open Door Community Health Centers (NPI 1669569109, Eureka, CA); Centerville Clinics Inc (NPI 1598314908, Washington, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 8, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1417434358) · Data from the CMS NPPES public registry.