MINDY BUTLER (PA-C) – Physician Assistant, NPI 1144841396

MINDY BUTLER (PA-C) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 026091-01 (NY). The NPI Number for MINDY BUTLER (PA-C) is 1144841396

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MINDY BUTLER (PA-C)
NPI
1144841396
Phone
Not provided
Address
36 1ST AVE
Enumeration Date
29 April 2020
Last Update Date
29 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8336728767
Graduation Year
2020 (6 years ago)
PAC ID
4284032897
Group Practice PAC ID
2163891268
Professional Enrollment ID
I20211013000473
Address ID
MS392022064JA1225XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for MINDY BUTLER (PA-C)

  • 36 1ST AVE

    BOSTON, MA 021294557

    Phone:

    Type: Mailing

  • 1850 CHADWICK DR

    JACKSON, MS 392043404

    Phone: (855) 863-9595

    Fax: (706) 868-8375

    Type: Location

  • 36 1st Ave

    Boston, MA 021294557

    Phone: (347) 204-4293

    Type: Location

  • PO BOX 3726

    AUGUSTA, GA 309143726

    Phone: (706) 863-9595

    Fax: (706) 868-8375

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $303.

Total Amount is formed as General ($303) + Research ($0) + Ownership ($0) = $303.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Access Pro Medical, LLC ($164).

Total Amount

$303

General + Research + Ownership

Payments

9

Total payment records

General Amount

$303

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211013000473IPhysician AssistantMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3116$0
99213Established patient office or other outpatient visit, 20-29 minutes1714$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 02129)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163891268View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
General SurgeryMS
Nurse PractitionerMS
Occupational Therapist In Private PracticeMS
Nurse PractitionerMS
Plastic And Reconstructive SurgeryGA
Nurse PractitionerMS
Occupational Therapist In Private PracticeMS
Physician AssistantGA

Reviews

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Frequently asked questions

What identifier follows MINDY BUTLER (PA-C) across health systems?
The NPI 1144841396 uniquely identifies MINDY BUTLER (PA-C) in U.S. healthcare data.
Is MINDY BUTLER (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MINDY BUTLER (PA-C) as active.
What services align with MINDY BUTLER (PA-C)'s listing?
MINDY BUTLER (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MINDY BUTLER (PA-C) tied to Boston, Massachusetts?
If you are local to Boston, Massachusetts, MINDY BUTLER (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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