1. Home
  2. Directory
  3. New York
  4. Williamsville
  5. Nurse Practitioner
  6. NPI Profile

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

Active since April 15, 2026PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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 and is a graduate of Other (2025).

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
Medical School CMSOtherGraduated 2025
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
Open in Google Maps ↗

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

Miranda 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 ID244795995
PECOS Enrollment IDI20260722004758
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 Miranda Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Physician, PC
46 mi
General Practice
3898 VINEYARD DR
Dunkirk, NY 14048
  • Reassigned Medicare billing, New York enrollment
  • 572 clinicians in this Medicare group
NPI 1093959322 (716) 692-3302

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

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 7

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

DR. AMANDA ROSE LEVY DO
Family Medicine
111 N MAPLEMERE RD STE 200
WILLIAMSVILLE, NY 14221
Erie County (716) 636-9004
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Miranda Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Butler reassigns Medicare benefits to General Physician, PC (Dunkirk, NY). 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 Miranda Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 5 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.