APRIL BUTLER
NPI 1679298731
Nurse Practitioner - Acute Care in Lexington, KY

Active since October 11, 2022PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503(859) 260-6100 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2022, Oct 11, 2022 (2 updates tracked since 2022).

About April Butler NPPES

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

APRIL BUTLER (NPI 1679298731) is an individual acute care provider in Lexington, Kentucky, licensed in Kentucky (PENDING) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679298731
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAPRIL BUTLER
Location Address1740 NICHOLASVILLE RDLexington, KY 40503-1431
Mailing Address1740 Nicholasville RdLexington, KY 40503-1431 · (859) 260-6100
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 11, 2022
Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
NPI 1679298731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in KY · PENDING
1740 NICHOLASVILLE RD, Lexington, KY 40503

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

April Butler 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 ID9436528767
PECOS Enrollment IDI20221208002429
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
187 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
80 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
58 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services25 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.
17 services13 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Emergency Medicine (Emergency Medical Services)
1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL EMERGENCY ROOM
LEXINGTON, KY 40503
Emergency Medicine (Emergency Medical Services)
1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL EMERGENCY ROOM
LEXINGTON, KY 40503
Emergency Medicine (Emergency Medical Services)
1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL EMERGENCY ROOM
LEXINGTON, KY 40503
Hospitalist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Nurse Anesthetist, Certified Registered
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Nurse Practitioner
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Physical Therapist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503

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 April Butler's NPI number?

The NPI number for April Butler is 1679298731. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is April Butler located?

April Butler practices at 1740 Nicholasville Rd, Lexington, KY 40503. The listed phone number is (859) 260-6100.

What is April Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is April Butler enrolled in Medicare?

Yes. April 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 April Butler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list April 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.

Is April Butler affiliated with any hospitals?

According to CMS data, April Butler is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for April Butler was last updated on November 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.