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KRISTA BUTTS NP
NPI 1962036665
Nurse Practitioner in Decatur, AL

Active since March 03, 2020PECOS EnrolledAccepts Medicare Assignment
1103 16TH AVE SE, DECATUR, AL 35601(256) 350-0362 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Krista Butts Np NPPES

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

KRISTA BUTTS NP (NPI 1962036665) is an individual nurse practitioner in Decatur, Alabama, licensed in Alabama (1-150052) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962036665
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTA BUTTSCredential: NP
Location Address1103 16TH AVE SEDecatur, AL 35601-3595
Mailing Address1103 16th Ave SeDecatur, AL 35601-3595
Phone(256) 350-0362
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1962036665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-150052
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1103 16TH AVE SE, Decatur, AL 35601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee 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

Krista Butts Np 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 ID7214366814
PECOS Enrollment IDI20200402001451
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

2

Medicare enrollment records show Krista Butts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Decatur Orthopaedic Clinic, LLC
0.2 mi
Orthopaedic Surgery
1107 14TH AVE SE STE 300
Decatur, AL 35601
  • Reassigned Medicare billing, Alabama enrollment
  • 15 clinicians in this Medicare group
NPI 1740331347 (256) 350-0362
Hh Health System - The Orthopaedic Center, LLC
24 mi
Orthopaedic Surgery
927 FRANKLIN ST SE
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 172 clinicians in this Medicare group
NPI 1376220822 (256) 539-2728

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 35601 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 15

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

CHARLES EDWARD FORTENBERRY R.N.
Nurse Practitioner
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
MR. PHILLIP SHANNON FARRIS PA-C, MPAS.
Physician Assistant
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
RUSSELL L ELLIS MD
Physical Medicine & Rehabilitation (Sports Medicine)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
JUSTIN L DAIGRE MD
Orthopaedic Surgery (Foot and Ankle Surgery)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
MR. ERIC TODD SMITH OTC
Specialist/Technologist, Other (Orthopedic Assistant)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 355-0362
ROBERT A SPARKS III MD
Orthopaedic Surgery
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
EWIN B JENKINS M.D.
Orthopaedic Surgery
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
REBECCA STEPHENSON MCWHIRTER CRNP
Nurse Practitioner (Acute Care)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362

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 Krista Butts's NPI number?

The NPI number for Krista Butts is 1962036665. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Krista Butts located?

Krista Butts practices at 1103 16th Ave SE, Decatur, AL 35601. The listed phone number is (256) 350-0362.

What is Krista Butts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Krista Butts enrolled in Medicare?

Yes. Krista Butts 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 organizations bill Medicare for Krista Butts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krista Butts reassigns Medicare benefits to 2 organizations: Decatur Orthopaedic Clinic, LLC (Decatur, AL) and Hh Health System - The Orthopaedic Center, LLC (Huntsville, AL). Each 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 Krista Butts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krista Butts accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Krista Butts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krista Butts was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.