Doctor profile · Federal record
Dr. Kelly Butts, FNP-BC
Acute Care Nurse Practitioner (CMS: Nurse Practitioner) · Family Nurse Practitioner · New York, NY
- NPI 1063936482
- Accepts Medicare
- 9 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
622 W 168Th St
New York, NY 100323720
(212) 305-6494 - Mailing address
-
162 Fairview Ave Apt 7
Jersey City, NJ 073041822
Credentials & registration
- NPI registered
- July 2017 — 9 yrs on file
- Profile last updated
- September 10, 2024
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 363LA2100X — NUCC code
- State licenses (2)
- New York #432288 · New York #342011
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063936482. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 1 | $18.00 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Kelly Butts's medical specialty?
Dr. Kelly Butts practices Acute Care Nurse Practitioner in New York, NY.
Where does Dr. Kelly Butts practice?
Dr. Kelly Butts practices at 622 W 168Th St, New York, NY 100323720. Office phone: 2123056494.
What is Dr. Kelly Butts's NPI?
Dr. Kelly Butts's National Provider Identifier (NPI) is 1063936482, issued by NPPES.
Does Dr. Kelly Butts accept Medicare assignment?
Yes. Dr. Kelly Butts accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.