Ryen Lynn Butler, ACNPC-AG
NPI 1346013075ActiveIndividual· Nurse Practitioner, Acute Care· Fredericksburg, VA
Nurse Practitioner, Acute Care (ACNPC-AG) with Mary Washington Healthcare Physicians, practicing in Fredericksburg, Virginia. 72 Medicare patients in 2024, $17,361 paid; nearly all of their 75 Part D prescriptions were generic (97%). Exact Sciences Corporation was the largest of 3 companies reporting payments in 2025, $71.61 in all, mostly food and beverage.
Overview
| NPI | 1346013075 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ACNPC-AG |
| Sole proprietor | No |
| NPI issued | Nov 3, 2023 |
| Last updated in NPPES | Oct 28, 2026 |
| Certified by provider | Oct 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 0024188655 | VA |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | 0024188655 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 72 |
|---|---|
| Services billed | 227 across 16 procedure codes |
| Paid by Medicare | $17,361 |
Part D prescriptions in 2024
| Prescriptions (claims) | 75 · 78 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $1,659 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Mary Washington Healthcare PhysiciansStafford, VA · 282 clinicians
Industry payments (Open Payments)
- 2025$71.61 · 4 payments from 3 companies
- 2024$157.94 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $42.06 | 2 |
| Abbvie Inc. | $15.15 | 1 |
| Glaxosmithkline, LLC. | $14.40 | 1 |
What the 2025 payments were for
- Food and Beverage$71.61 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 34 acute care nurse practitioners in Fredericksburg · All acute care nurse practitioners in Virginia