AMY RENEE BUTLER (FNP-C) – Family Nurse Practitioner, NPI 1275968489
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for AMY RENEE BUTLER (FNP-C)
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9016
Fax: (920) 684-1439
Type: Mailing
5721 OSAGE BEACH PKWY STE 100
OSAGE BEACH, MO 650653030
Phone: (573) 302-4696
Fax: (573) 302-4698
Type: Location
980 EXECUTIVE DR STE D
OSAGE BEACH, MO 650653495
Phone: (573) 746-5474
Fax: (737) 465-4755
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 143 Open Payments records for all available years, with a total value of $3,695.
Total Amount is formed as General ($3,695) + Research ($0) + Ownership ($0) = $3,695.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($856).
Total Amount
$3,695
General + Research + Ownership
Payments
143
Total payment records
General Amount
$3,695
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $856 |
| Dermavant Sciences, Inc. | $499 |
| E.R. Squibb & Sons, L.L.C. | $275 |
| Janssen Biotech, Inc. | $253 |
| Amgen Inc. | $216 |
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: 2013-12-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131204001759 | I | Nurse Practitioner | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 5,400 | 21 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 3,565 | 591 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,277 | 960 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 968 | 744 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 444 | 385 | $0 |
Insurance plans in this area (ZIP 54220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MO | |
| D E R M A T O L O G Y | MO | |
| Plastic And Reconstructive Surgery | KS | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS | |
| Physician Assistant | KS | |
| Physician Assistant | TX |
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