KIMBERLY SUE BUTLER N.P.
NPI 1578934535
Nurse Practitioner - Psychiatric/Mental Health in Bend, OR

Q: What is Kimberly Butler's NPI number?

The NPI number for Kimberly Butler is 1578934535. It was assigned to this individual provider in the NPPES registry on October 15, 2015. The provider is also known as Kimberly Sue Donovan.

Q: What is Kimberly Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Butler was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 15, 2015PECOS EnrolledAccepts Medicare Assignment

1569 SW NANCY WAY STE 2, BEND, OR 97702(541) 382-1395(541) 382-6576 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2025, Apr 26, 2018, Mar 16, 2017 (3 updates tracked since 2017).

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About Kimberly Sue Butler N.p. NPPES

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

KIMBERLY SUE BUTLER N.P. (NPI 1578934535) is an individual psychiatric/mental health provider in Bend, Oregon, licensed in Oregon (201507448NPPP) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1578934535

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKIMBERLY SUE BUTLERCredential: N.P.

Location Address1569 SW NANCY WAY STE 2Bend, OR 97702-3234

Mailing AddressPo Box 5264Bend, OR 97708-5264 · (541) 382-1395 · Fax (541) 382-6576

Phone(541) 382-1395

Fax(541) 382-6576

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 15, 2015

Last NPPES UpdateFebruary 10, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2025

✔ NPI 1578934535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 201507448NPPP

1569 SW NANCY WAY STE 2, Bend, OR 97702

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Other Names 1

Other Name (5)Kimberly Sue Donovan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Kimberly Sue Butler N.p. 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 ID8921379868

PECOS Enrollment IDI20170810001436

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.

Areas of Expertise CMS Part B claims 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

99 services26 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.

99 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97702 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

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 4

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

MS. CASSIE MCCRAW LAC, MSOM

Acupuncturist

1569 SW NANCY WAY STE 2
BEND, OR 97702

Deschutes County (928) 607-4285

MARGARET LANG SMITH PSYCHIATRY LLC

Physician Assistant

1569 SW NANCY WAY STE 2
BEND, OR 97702

Deschutes County (541) 382-1395

MARGARET LANG SMITH PA-C

Physician Assistant

1569 SW NANCY WAY STE 2
BEND, OR 97702

Deschutes County (541) 382-1395

OREGON PSYCH NP, LLC

Nurse Practitioner (Psychiatric/Mental Health)

1569 SW NANCY WAY STE 2
BEND, OR 97702

Deschutes County (541) 382-1395

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 Kimberly Butler's NPI number?

The NPI number for Kimberly Butler is 1578934535. It was assigned to this individual provider in the NPPES registry on October 15, 2015. The provider is also known as Kimberly Sue Donovan.

Where is Kimberly Butler located?

Kimberly Butler practices at 1569 SW Nancy Way Ste 2, Bend, OR 97702. The listed phone number is (541) 382-1395.

What is Kimberly Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kimberly Butler enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Butler accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly Butler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Butler was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.