NPIMap

Individual provider Active NPI

Victoria Butcher, APRN

  • Urology Physician
  • Charleston, WV
National Provider Identifier
1689391401
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
114671 Issued in WV
Practice address
11 Courtney Dr
Charleston, WV 25304-2699
Phone
(304) 925-8521
NPI assigned
Oct 24, 2022
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 114671 WV
Urology Physician 208800000X 114671 WV Primary

Addresses

Primary practice location

11 Courtney Dr
Charleston, WV 25304-2699

Mailing address

11 Courtney Dr
Charleston, WV 25304-2699

Other practice location 1

401 6th Ave
Montgomery, WV 25136-2199
Phone (304) 442-5151

Other practice location 2

501 Morris St
Charleston, WV 25301-1326
Phone (304) 647-6006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20230426000535 WV Practitioner - Nurse Practitioner 6204291263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montgomery General Hospital, IncGroup PAC ID 6204735269, 37 clinicians

Practice addresses (Care Compare)

11 Courtney Dr
Charleston, WV 25304-2699
Phone (304) 925-8521

401 6TH Ave
Montgomery, WV 25136-2116
Phone (304) 442-5151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114671WVMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Jan 21, 2023 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Oct 31, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jan 21, 2023 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Oct 31, 2023 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Montgomery General Hospital, Inc. Past Accepting new patients

Locations

11 Courtney Dr
Charleston, WV 25304
Phone (304) 925-8521

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

Organizations & group practices 6

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1689391401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COURTNEY DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COURTNEY DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042699",
            "telephone_number": "304-925-8521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "WV",
            "postal_code": "251362199",
            "country_code": "US",
            "telephone_number": "304-442-5151",
            "fax_number": "304-442-7494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-647-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "VICTORIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "114671",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "114671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.