TRACEY BUTAY (CRNP) – Family Nurse Practitioner, NPI 1265941868

TRACEY BUTAY (CRNP) is a healthcare provider. based in Middletown, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP017982 (PA). The NPI Number for TRACEY BUTAY (CRNP) is 1265941868

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY BUTAY (CRNP)
NPI
1265941868
Phone
(717) 844-0491
Address
1025 W HARRISBURG PIKE
Enumeration Date
26 September 2017
Last Update Date
20 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7206312400
Graduation Year
2017 (9 years ago)
PAC ID
9032477112
Group Practice PAC ID
2769812445
Professional Enrollment ID
I20210706000819
Address ID
TX799355204EL1382XDRXX301
Telehealth
Yes

Contacts

Other Endpoint
Houston
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

11,473 NURSE PRACTITIONER in PA

Provider Addresses for TRACEY BUTAY (CRNP)

  • 1025 W HARRISBURG PIKE

    MIDDLETOWN, PA 170574848

    Phone: (717) 844-0491

    Fax: (717) 944-1436

    Type: Mailing

  • 10906 FARM TO MARKET 1960 RD W

    HOUSTON, TX 77070

    Phone: (281) 477-7490

    Type: Mailing

  • 1025 W Harrisburg Pike

    Middletown, PA 170574848

    Phone: (717) 944-0491

    Fax: (717) 944-1436

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20171219000808INurse PractitionerPATBD
I20210706000819INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1413$0
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 17057)

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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: 2769812445View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerWI
Nurse PractitionerMD
Nurse PractitionerTX
Nurse PractitionerOH
Nurse PractitionerWA
Nurse PractitionerGA
Nurse PractitionerMN
Nurse PractitionerMD
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does TRACEY BUTAY (CRNP) have a public NPI I can cite?
Public records show TRACEY BUTAY (CRNP) under NPI 1265941868.
Should I treat TRACEY BUTAY (CRNP) as an active provider?
Patients and plans typically see TRACEY BUTAY (CRNP) as active in the national extract.
Which specialty label fits TRACEY BUTAY (CRNP)?
NPPES ties TRACEY BUTAY (CRNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TRACEY BUTAY (CRNP)?
TRACEY BUTAY (CRNP) is associated with Middletown, Pennsylvania in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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