Individual provider Active NPI

Zachary D Butt, CRNP

  • Family Nurse Practitioner
  • Middletown, MD
National Provider Identifier
1114445368
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R206345 Issued in MD
Practice address
300 S Church St
Middletown, MD 21769-8043
Phone
(301) 371-9000
Fax
(301) 371-8905
NPI assigned
Sep 7, 2017
Last updated
Sep 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R206345 MD Primary

Addresses

Primary practice location

300 S Church St
Middletown, MD 21769-8043

Mailing address

PO Box 20
Middletown, MD 21769-0020
Phone (301) 371-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171013000913 MD Practitioner - Nurse Practitioner 8123393345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Middletown Valley Family Medicine, P.a.Group PAC ID 9638187107, 7 clinicians

Practice addresses (Care Compare)

187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503

300 S Church St
Middletown, MD 21769-8043
Phone (301) 371-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Apr 1, 2020 Accepting new patients
Middletown Valley Family Medicine, P.a. CurrentSince Oct 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Apr 1, 2020 Accepting new patients
Frederick Health Hospital Inc PastSince Oct 1, 2017 Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

300 S Church St
Middletown, MD 21769
Phone (301) 371-9000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25632/brand/1/csg/1/fhir/r4
  • Direct secure messaging: zachary.butt.1@25632.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1114445368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217690020",
            "telephone_number": "301-371-9000",
            "fax_number": "301-371-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S CHURCH ST",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217698043",
            "telephone_number": "301-371-9000",
            "fax_number": "301-371-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTT",
        "first_name": "ZACHARY",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R206345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, MD

Sources for this page

Verify at the official NPI Registry.