EMILY KATHRYN BUTTKUS PAC
NPI 1417646464
Physician Assistant - Surgical in Lebanon, TN

Q: What is Emily Buttkus's NPI number?

The NPI number for Emily Buttkus is 1417646464. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Q: What is Emily Buttkus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Emily Buttkus was last updated on September 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2023PECOS EnrolledAccepts Medicare Assignment

100 PHYSICIANS WAY STE 110, LEBANON, TN 37090(615) 547-6700 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 8, 2023, May 30, 2023, May 4, 2023 (3 updates tracked since 2023).

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About Emily Kathryn Buttkus Pac NPPES

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

EMILY KATHRYN BUTTKUS PAC (NPI 1417646464) is an individual surgical provider in Lebanon, Tennessee, licensed in Tennessee (PA5515) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417646464

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameEMILY KATHRYN BUTTKUSCredential: PAC

Location Address100 PHYSICIANS WAY STE 110Lebanon, TN 37090-8107

Mailing AddressPo Box 370Fortson, GA 31808-0370 · (706) 494-3071

Phone(615) 547-6700

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMay 4, 2023

Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2023

✔ NPI 1417646464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TN · PA5515

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA0000005515 (TN)

100 PHYSICIANS WAY STE 110, Lebanon, TN 37090

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

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

Emily Kathryn Buttkus Pac 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 ID9234596586

PECOS Enrollment IDI20230601001820

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

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

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440006

Location3441 Dickerson PikeNashville, TN 37207 · Davidson County

Emergency services

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSEPH N JOHNSON ATC

Specialist/Technologist (Athletic Trainer)