SHELLEY JOAN BUTLER PA-C
NPI 1619493657
Physician Assistant in Saint Paul, MN

Active since August 22, 2017PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-4786 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2021, Feb 5, 2021, Aug 22, 2017 (3 updates tracked since 2017).

About Shelley Joan Butler Pa-c NPPES

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

SHELLEY JOAN BUTLER PA-C (NPI 1619493657) is an individual physician assistant in Saint Paul, Minnesota, licensed in Minnesota (13525) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chamblee, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619493657
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELLEY JOAN BUTLERCredential: PA-C
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing Address8170 33rd Ave S, Ms: 21110qBloomington, MN 55425
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 22, 2017
Last NPPES UpdateJanuary 19, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
NPI 1619493657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MN · 13525 Licensed in MI · 13525 Licensed in WI · 4144-23
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 4144-23 (WI)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 4144-23 (WI)
640 JACKSON ST, Saint Paul, MN 55101

Secondary Practice Location 1

Location 13001 Mercer University DrChamblee, GA 30341-4115 · Phone (678) 547-6358

Other Identifiers 1

Medicaid100147878WI

Accepted 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

Shelley Joan 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 ID9436417268
PECOS Enrollment IDI20260223003615
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

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 Shelley Butler's NPI number?

The NPI number for Shelley Butler is 1619493657. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Shelley Butler located?

Shelley Butler practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-4786.

What is Shelley Butler's specialty?

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

Is Shelley Butler enrolled in Medicare?

Yes. Shelley 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 Shelley Butler accept?

Health plans from Medica list Shelley 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 Shelley Butler was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.