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MIRANDA BUTLER
NPI 1790629475
Nurse Practitioner - Family in Williamsville, NY

Active since April 15, 2026PECOS Enrolled
111 N MAPLEMERE RD STE 200, WILLIAMSVILLE, NY 14221(716) 899-4772 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Apr 15, 2026 (2 updates tracked since 2026).

About Miranda Butler NPPES

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

MIRANDA BUTLER (NPI 1790629475) is an individual family provider in Williamsville, New York, licensed in New York (F358540) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790629475
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRANDA BUTLER
Location Address111 N MAPLEMERE RD STE 200Williamsville, NY 14221-3182
Mailing Address53 Keats AveTonawanda, NY 14150-8539 · (716) 517-0060
Phone(716) 899-4772
Sole ProprietorNo
Enumeration DateApril 15, 2026
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1790629475 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 NY · F358540
111 N MAPLEMERE RD STE 200, Williamsville, NY 14221
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Butler 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 14221 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

MRS. COURTNEY MARIE CARDINAL-KARP PHARMD
Pharmacist
111 N MAPLEMERE RD STE 200
WILLIAMSVILLE, NY 14221
Erie County (716) 800-2273
MR. MARK STEPHEN ST MARIE MD
Internal Medicine (Gastroenterology)
111 N MAPLEMERE RD STE 200
WILLIAMSVILLE, NY 14221
Erie County (716) 626-2644
RANDY CHEUNG MD
Internal Medicine (Gastroenterology)
111 N MAPLEMERE RD STE 200
WILLIAMSVILLE, NY 14221
Erie County (716) 626-2644
DR. GINA MARIE MANGIONE MD
Internal Medicine
111 N MAPLEMERE RD STE 200
WILLIAMSVILLE, NY 14221
Erie County (716) 626-2644
MRS. JORDAN RAE VERRALL FNP
Nurse Practitioner (Family)
111 N MAPLEMERE RD STE 200
WILLIAMSVILLE, NY 14221
Erie County (716) 626-2644
DR. CHIDIMMA ODUWEGWU M.D.
Internal Medicine
111 N MAPLEMERE RD STE 200
WILLIAMSVILLE, NY 14221
Erie County (716) 899-4772

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 Miranda Butler's NPI number?

The NPI number for Miranda Butler is 1790629475. It was assigned to this individual provider in the NPPES registry on April 15, 2026.

Where is Miranda Butler located?

Miranda Butler practices at 111 N Maplemere Rd Ste 200, Williamsville, NY 14221. The listed phone number is (716) 899-4772.

What is Miranda Butler's specialty?

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

Is Miranda Butler enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Miranda Butler was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.