ALYSSA BREANNA BUTTERBAUGH APRN
NPI 1902616923
Nurse Practitioner - Acute Care in Port Charlotte, FL

Q: What is Alyssa Butterbaugh's NPI number?

The NPI number for Alyssa Butterbaugh is 1902616923. It was assigned to this individual provider in the NPPES registry on January 11, 2025.

Q: What is Alyssa Butterbaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since January 11, 2025PECOS EnrolledAccepts Medicare Assignment

21202 OLEAN BLVD STE C6, PORT CHARLOTTE, FL 33952(585) 519-9998 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2026, Jan 11, 2025 (2 updates tracked since 2025).

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About Alyssa Breanna Butterbaugh Aprn NPPES

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

ALYSSA BREANNA BUTTERBAUGH APRN (NPI 1902616923) is an individual acute care provider in Port Charlotte, Florida, licensed in Florida (11037083) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Shorepoint Health Port Charlotte, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902616923

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameALYSSA BREANNA BUTTERBAUGHCredential: APRN

Location Address21202 OLEAN BLVD STE C6Port Charlotte, FL 33952-6771

Mailing Address2139 Nw 19th AveCape Coral, FL 33993-3862 · (585) 519-9998

Phone(585) 519-9998

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 11, 2025

Last NPPES UpdateApril 6, 20262 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1902616923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in FL · 11037083

21202 OLEAN BLVD STE C6, Port Charlotte, FL 33952

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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 and accepts Medicare assignment

Alyssa Breanna Butterbaugh Aprn 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 ID3779098744

PECOS Enrollment IDI20250717001747

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.

Hospital Affiliations CMS Care Compare 4

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

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100077

Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services Birthing friendly

Lehigh Regional Medical Center

Acute Care Hospitals · Lehigh Acres, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100107

Location1500 Lee BlvdLehigh Acres, FL 33936 · Lee County

Emergency services

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100236

Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services

Hca Florida Englewood Hospital

Acute Care Hospitals · Englewood, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100267

Location700 Medical BlvdEnglewood, FL 34223 · Sarasota County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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 3

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

DR. ASIF F KAMAL MD

Internal Medicine

21202 OLEAN BLVD STE C6
PORT CHARLOTTE, FL 33952

Charlotte County (941) 889-7440

ASIF KAMAL MD PA

Internal Medicine

21202 OLEAN BLVD STE C6
PORT CHARLOTTE, FL 33952

Charlotte County (941) 889-7440

DR. AHSAN KAMAL MD. PA.

Internal Medicine

21202 OLEAN BLVD STE C6
PORT CHARLOTTE, FL 33952

Charlotte County (941) 889-7440

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 Alyssa Butterbaugh's NPI number?

The NPI number for Alyssa Butterbaugh is 1902616923. It was assigned to this individual provider in the NPPES registry on January 11, 2025.

Where is Alyssa Butterbaugh located?

Alyssa Butterbaugh practices at 21202 Olean Blvd Ste C6, Port Charlotte, FL 33952. The listed phone number is (585) 519-9998.

What is Alyssa Butterbaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Alyssa Butterbaugh enrolled in Medicare?

Yes. Alyssa Butterbaugh 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.

Is Alyssa Butterbaugh affiliated with any hospitals?

According to CMS data, Alyssa Butterbaugh is affiliated with Shorepoint Health Port Charlotte, Lehigh Regional Medical Center, Hca Florida Fawcett Hospital and Hca Florida Englewood Hospital.

When was this NPI record last updated?

The NPPES record for Alyssa Butterbaugh was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.