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DR. BRENNA BUTLER DNP, FNP-C
NPI 1710458062
Nurse Practitioner in Meridian, ID

Active since December 16, 2018PECOS Enrolled
1500 E HERITAGE PARK ST STE 125, MERIDIAN, ID 83646(208) 580-7033 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2023, Jun 21, 2021, Jan 21, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Brenna Butler Dnp, Fnp-c NPPES

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

DR. BRENNA BUTLER DNP, FNP-C (NPI 1710458062) is an individual nurse practitioner in Meridian, Idaho, licensed in Idaho (66812) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Prescott.

NPPES Registry Identity

NPI1710458062
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. BRENNA BUTLERCredential: DNP, FNP-C
Location Address1500 E HERITAGE PARK ST STE 125Meridian, ID 83646-5887
Mailing Address1500 E Heritage Park St Ste 125Meridian, ID 83646-5887 · (085) 807-7032
Phone(208) 580-7033
Sole ProprietorYes
Enumeration DateDecember 16, 2018
Last NPPES UpdateFebruary 10, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
✔ NPI 1710458062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in ID · 66812✔ Licensed in AZ · 220060
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1500 E HERITAGE PARK ST STE 125, Meridian, ID 83646
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Secondary Practice Location 1

Location 1500 AZ-89Prescott, AZ 86301 · Phone (928) 445-4860

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brenna Butler Dnp, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83646 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 2

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

SNP HOLDINGS, LLC
Chiropractor
1500 E HERITAGE PARK ST STE 125
MERIDIAN, ID 83646
Ada County (208) 968-9688
DR. STEPHEN RICHARD PERRY DC
Chiropractor
1500 E HERITAGE PARK ST STE 125
MERIDIAN, ID 83646
Ada County (208) 968-9688

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 Brenna Butler's NPI number?

The NPI number for Brenna Butler is 1710458062. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Brenna Butler located?

Brenna Butler practices at 1500 E Heritage Park St Ste 125, Meridian, ID 83646. The listed phone number is (208) 580-7033.

What is Brenna Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brenna Butler enrolled in Medicare?

Yes. Brenna Butler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenna Butler was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.