NPIMap

Individual provider Active NPI

Amy Renee Butler, FNP-C

  • Family Nurse Practitioner
  • Osage Beach, MO
National Provider Identifier
1275968489
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013033428 Issued in MO
Practice address
980 Executive Dr Ste D
Osage Beach, MO 65065-3495
Phone
(573) 746-5474
Fax
(573) 746-5475
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 2013033428 MO Primary

Addresses

Primary practice location

980 Executive Dr Ste D
Osage Beach, MO 65065-3495

Mailing address

980 Executive Dr Ste D
Osage Beach, MO 65065-3495
Phone (573) 746-5474

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Amy.Butler@forefrontdermatology.emadirect.md
Direct Messaging Address Amy.Butler@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131204001759 MO Practitioner - Nurse Practitioner 1557597135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Cancer Specialists LLCGroup PAC ID 5294721486, 44 clinicians

Practice addresses (Care Compare)

3265 NE Ralph Powell Rd
Lees Summit, MO 64064-2301
Phone (816) 524-4747

Hospital & facility affiliations

  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
  • Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186
  • Carilion Giles Community Hospital Hospital, Pearisburg, VA, CCN 491302

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Skin Cancer Specialists, LLC. CurrentSince Jan 29, 2024 Accepting new patients
Dermatology and Skin Cancer Specialists, LLC CurrentSince Jan 29, 2024 Accepting new patients
Skin & Mohs Surgery Center, LLC Current Accepting new patients
American Homecare Management Corp. Past Accepting new patients

Locations

3265 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-4747

980 Executive Dr
Ste D
Osage Beach, MO 65065
Phone (573) 348-6700

3131 Brianna Blvd
Sedalia, MO 65301
Phone (660) 460-3038

Interoperability endpoints

  • Direct secure messaging: amy.butler@forefrontdermatology.emadirect.md
  • Direct secure messaging: abutler@kansascity.emadirect.md

Organizations & group practices 4

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

Hospital & facility affiliations 7

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": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1275968489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 EXECUTIVE DR STE D",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653495",
            "telephone_number": "573-746-5474",
            "fax_number": "737-465-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 EXECUTIVE DR STE D",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653495",
            "telephone_number": "573-746-5474",
            "fax_number": "573-746-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "AMY",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013033428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amy.Butler@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5721 Osage Beach Pkwy Ste 100",
            "city": "Osage Beach",
            "state": "MO",
            "country_code": "US",
            "postal_code": "650653030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amy.Butler@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "331 Hospital Dr",
            "city": "Lebanon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "655369217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

Verify at the official NPI Registry.