SIERRA BUTLER PA-C
NPI 1487216420
Physician Assistant in Moses Lake, WA

Q: What is Sierra Butler's NPI number?

The NPI number for Sierra Butler is 1487216420. It was assigned to this individual provider in the NPPES registry on June 29, 2019.

Q: What is Sierra Butler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Sierra Butler was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 June 29, 2019PECOS EnrolledAccepts Medicare Assignment

605 S COOLIDGE ST, MOSES LAKE, WA 98837(509) 765-0674(509) 764-0344 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2021, Jul 17, 2019 (2 updates tracked since 2019).

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About Sierra Butler Pa-c NPPES

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

SIERRA BUTLER PA-C (NPI 1487216420) is an individual physician assistant in Moses Lake, Washington, licensed in Washington (PA60971025) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Quincy Valley Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487216420

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSIERRA BUTLERCredential: PA-C

Location Address605 S COOLIDGE STMoses Lake, WA 98837-1893

Mailing Address605 S Coolidge StMoses Lake, WA 98837-1893 · (509) 765-0674 · Fax (509) 764-0344

Phone(509) 765-0674

Fax(509) 764-0344

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 29, 2019

Last NPPES UpdateJune 3, 20212 updates tracked since enumeration

NPPES CertifiedJune 3, 2021

✔ NPI 1487216420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WA · PA60971025

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.

605 S COOLIDGE ST, Moses Lake, WA 98837

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Sierra Butler Pa-c 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 ID6002242781

PECOS Enrollment IDI20200129001960

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.

Quincy Valley Medical Center

Critical Access Hospitals · Quincy, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501320

Location908 10th Avenue SouthwestQuincy, WA 98848 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98837 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$109.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MOSES LAKE COMMUNITY HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))