Katherine Rose Butler, FNP-C
Individual provider Active NPI Nurse Practitioner · New York, NY
NPI 1083448302 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1083448302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 353375 (NY)
- Practice address
- 425 E 61St St FL 11
New York, NY 10065-8722 - Phone
- (646) 962-4222
- NPI assigned
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Weill Medical College of Cornell
Practice addresses (Care Compare)
425 E 61St St
New York, NY 10065-8722
Phone (212) 821-0864
Hospital & facility affiliations
- New York-Presbyterian Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250711001798 | NY | Practitioner - Nurse Practitioner | 4385159185 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353375 | NY | MD | Nurse Practitioner |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current |
Accepting new patients | |
| Weill Medical College of Cornell | Current |
Accepting new patients | |
| Cornell University Medical College | Past | Accepting new patients | |
| Weill Cornell University Medical College | Past | Accepting new patients | |
| Weill Medical College of Cornell | Past | Accepting new patients |
Locations
525 E 68th St
#J130
New York, NY 10065
Phone (212) 746-3000
211 E 80th St
Ste 200
New York, NY 10075
425 E 61st St
New York, NY 10065
Phone (212) 752-2000
425 E 61st St
Fl 11
New York, NY 10065
Phone (212) 821-0858
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 353375 | NY | Yes |
Addresses
Primary practice location
425 E 61St St FL 11
New York, NY 10065-8722
Mailing address
225 W 83Rd St Apt 7B
New York, NY 10024-4956
Phone (516) 754-8853
Other providers in New York, NY
- Esther Rochelle Butler
- Frank Butler
- Haylie Marie Butler
- Jasmin Butler
- Jeremy Ryan Butler
- Leslie Renee Butler
- Malika Butler
- Marcus William Butler
- Margarite Butler
- Martin Butler
All providers in New York, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.