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MRS. CARMEN RIDGEWAY BUTLER FNP-C
NPI 1659845782
Nurse Practitioner - Family in Sumter, SC

Active since January 11, 2019PECOS EnrolledAccepts Medicare Assignment
115 N SUMTER ST STE 305, SUMTER, SC 29150(803) 305-1117 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Carmen Ridgeway Butler Fnp-c NPPES

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

MRS. CARMEN RIDGEWAY BUTLER FNP-C (NPI 1659845782) is an individual family provider in Sumter, South Carolina, licensed in South Carolina (22202) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1659845782
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CARMEN RIDGEWAY BUTLERCredential: FNP-C
Location Address115 N SUMTER ST STE 305Sumter, SC 29150-4967
Mailing Address1088 Pond View RdManning, SC 29102-7816 · (803) 460-4640
Phone(803) 305-1117
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 11, 2019
✔ NPI 1659845782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 22202
115 N SUMTER ST STE 305, Sumter, SC 29150
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

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

Mrs. Carmen Ridgeway Butler Fnp-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 ID4486064185
PECOS Enrollment IDI20231130001411
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.

Medicare Billing Reassignment

Medicare enrollment records show Carmen Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lowcountry Urgent Care LLC
106 mi
Primary Care
182C SEA ISLAND PKWY
Beaufort, SC 29907
  • Reassigned Medicare billing, South Carolina enrollment
  • 200 clinicians in this Medicare group
NPI 1326364100 (843) 322-1933

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
28 services12 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
18 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
14 services13 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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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 Carmen Butler's NPI number?

The NPI number for Carmen Butler is 1659845782. It was assigned to this individual provider in the NPPES registry on January 11, 2019.

Where is Carmen Butler located?

Carmen Butler practices at 115 N Sumter St Ste 305, Sumter, SC 29150. The listed phone number is (803) 305-1117.

What is Carmen Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carmen Butler enrolled in Medicare?

Yes. Carmen 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 organization bills Medicare for Carmen Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Butler reassigns Medicare benefits to Lowcountry Urgent Care LLC (Beaufort, SC). The 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 Carmen Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Butler accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Carmen 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 Carmen Butler was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.