Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAITLYN BUTKA PMHNP-BC
NPI 1811814643
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Q: What is Kaitlyn Butka's NPI number?

The NPI number for Kaitlyn Butka is 1811814643. It was assigned to this individual provider in the NPPES registry on July 2, 2026.

Q: What is Kaitlyn Butka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlyn Butka was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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 July 02, 2026PECOS Enrolled

719 HARRISON ST, SYRACUSE, NY 13210(315) 464-3265(315) 464-3282 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Aug 18, 2026, Jul 9, 2026 (2 updates tracked since 2026).

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About Kaitlyn Butka Pmhnp-bc NPPES

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

KAITLYN BUTKA PMHNP-BC (NPI 1811814643) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (408893) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811814643

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKAITLYN BUTKACredential: PMHNP-BC

Location Address719 HARRISON STSyracuse, NY 13210-2695

Mailing Address719 Harrison StSyracuse, NY 13210-2695 · (315) 464-3265 · Fax (315) 464-3282

Phone(315) 464-3265

Fax(315) 464-3282

Sole ProprietorNo

Enumeration DateJuly 2, 2026

Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1811814643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 408893

719 HARRISON ST, Syracuse, NY 13210

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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)

Kaitlyn Butka Pmhnp-bc 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 13210 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 20

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

WURAOLA SOFOWOTE

Nurse Practitioner (Psychiatric/Mental Health)