KASSANDRA LEANN BUTLER ARNP
NPI 1780055152
Nurse Practitioner - Family in Orange Park, FL

Q: What is Kassandra Butler's NPI number?

The NPI number for Kassandra Butler is 1780055152. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Q: What is Kassandra Butler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kassandra Butler was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 12, 2015PECOS EnrolledAccepts Medicare Assignment

1563 KINGSLEY AVENUE, SUITE 106, ORANGE PARK, FL 32073(904) 389-5333(904) 389-5332 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2026, Jun 10, 2021 (2 updates tracked since 2021).

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About Kassandra Leann Butler Arnp NPPES

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

KASSANDRA LEANN BUTLER ARNP (NPI 1780055152) is an individual family provider in Orange Park, Florida, licensed in Florida (APRN9337434) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780055152

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKASSANDRA LEANN BUTLERCredential: ARNP

Location Address1563 KINGSLEY AVENUE, SUITE 106Orange Park, FL 32073

Mailing Address2 Shircliff Way Ste 700Jacksonville, FL 32204-4759 · (904) 389-5333 · Fax (904) 389-5332

Phone(904) 389-5333

Fax(904) 389-5332

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 12, 2015

Last NPPES UpdateApril 29, 20262 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1780055152 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

Licenses✔ Licensed in FL · APRN9337434✔ Licensed in FL · ARNP 9337434

1563 KINGSLEY AVENUE, Orange Park, FL 32073

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Other Identifiers 1

Medicaid015924400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Kassandra Leann Butler Arnp 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 ID8123329182

PECOS Enrollment IDI20151216000491

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 Reassignments

Medicare enrollment records show Kassandra Butler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Infectious Disease Associates PA

Same address

Family

1563 KINGSLEY AVE STE 106
Orange Park, FL 32073

Reassigned Medicare billing, Florida enrollment
10 clinicians in this Medicare group

NPI 1124214879 (904) 272-6161

James D. Baker III, M.D., PA

8.0 mi

Nephrology

2 SHIRCLIFF WAY, SUITE 700 DEPAUL BLDG.
Jacksonville, FL 32204

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: James D Baker Iii MD PA
20 clinicians in this Medicare group

NPI 1437182896 (904) 389-5333

Wcs Professional Services Of Florida, LLC

505 mi

Nurse Practitioner

3445 N CAUSEWAY BLVD, SUITE 600
Metairie, LA 70002

Reassigned Medicare billing, Florida enrollment
23 clinicians in this Medicare group

NPI 1659782415 (504) 835-4919

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 6

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 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.

88 services54 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.

87 services76 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

64 services42 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

16 services14 patients

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.

15 services11 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100226

Location2001 Kingsley AveOrange Park, FL 32073 · Clay County

Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100321

Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County

Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100361

Location205 Trinity WaySt Johns, FL 32259 · St. Johns County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 6

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

BACHAR ALKHALIL MD

Internal Medicine (Nephrology)