Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861817090 Individual Practitioner Female Practitioner

Amanda Butler , PA-C

Physician Assistant • Malone, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amanda Butler, PA-C is a certified Physician Assistant practicing in Malone, NY. With approximately 13 years of clinical experience since graduating from Drexel University College Of Medicine in 2013, Amanda Butler delivers high-quality medical care to the local community at 5 CLAY ST.

Amanda Butler is affiliated with Canton-Potsdam Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5 Clay St

Malone, NY 129531905

Telephone 5184830705
Associated Practice Facility / Clinic
🏢 Anjni G Bhagat Physician P C Facility NPI 1225142045

Medicare Profile & Education

Medical School

Drexel University College Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Malone, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +1.7 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Malone, NY (15701 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Butler (13 Years) 13 Yrs
Malone Specialty Average (11.3 Years) 11.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-09-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 030068

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License KS 15-01676

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License OR PA174869

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
15-01676 (KS)
Commercial Insurance / Payer ID State License
PA174869 (OR)

Hospital & Practice Group Affiliations

Canton-Potsdam Hospital

80 E Main St, Canton, NY 136171450

Phone: 3153863300

Canton-Potsdam Hospital

49 Lawrence Ave, Potsdam, NY 136761889

Phone: 3152615525

Canton-Potsdam Hospital

201 Market St, Potsdam, NY 136761218

Phone: 3152749102

Secondary Practice Locations

1233 Edgewater St Nw

Salem, OR 973044049

Phone: 5033787526

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Anjni Bhagat , MD

Internal Medicine

NPI 1013019454

Doctor of Medicine (M.D.)

Patrick Johnston , PA

Physician Assistant

NPI 1073739777

Physician Assistant

Adelanke Chris-Rotimi , NP

Nurse Practitioner

NPI 1205454956

Nurse Practitioner

Sarah Moore , PA

Physician Assistant

NPI 1255883013

Physician Assistant

Brooke Stark , FNP

Family Medicine

NPI 1992459028

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location September 14, 2023

Registered at 5 CLAY ST, MALONE, NY 129531905 (Tel: 5184830705)

👤
Provider Name / Credentials Updated March 23, 2018

Recorded as AMANDA BUTLER, PA-C

NPI Profile Active November 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2017

Registered at 1233 EDGEWATER ST NW, SALEM, OR 973044049 (Tel: 5033787526)

📍
Updated Business Mailing Address November 01, 2017

Registered at 1233 EDGEWATER ST NW, SALEM, OR 973044049 (Tel: 5033787526)

👤
Provider Name / Credentials Updated November 01, 2017

Recorded as AMANDA BUTLER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2017

Physician Assistant (License #15-01676 in KS)

NPI Profile Active February 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2014

Registered at 444 W LONG ST., DIGHTON, KS 678390488 (Tel: 6203975316)

📍
Updated Business Mailing Address February 25, 2014

Registered at 444 W LONG ST., PO BOX 488, DIGHTON, KS 678390488 (Tel: 6203975316)

👤
Provider Name / Credentials Updated February 25, 2014

Recorded as AMANDA BUTLER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2014

Physician Assistant (License #15-01676 in KS)

🟢
Initial NPI Registration & Enumeration February 25, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861817090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2014
Last Update: September 14, 2023
Sole Proprietor: No

Mailing Address

1233 Edgewater St Nw

Salem, OR 973044049

Phone: 5033787526

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.