Shelley Joan Butler, PA-C
NPI 1619493657ActiveIndividual· Physician Assistant· Saint Paul, MN
Physician Assistant (PA-C) in Saint Paul, Minnesota, licensed in MN, MI and WI, with an NPI issued in August 2017. 36 Medicare patients in 2024, $2,909 paid; nearly all of their 61 Part D prescriptions were generic (93%).
Overview
| NPI | 1619493657 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Aug 22, 2017 |
| Last updated in NPPES | Jan 19, 2024 |
| Certified by provider | Jan 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 13525 | MN |
| Physician Assistant | 363A00000X | 13525 | MI |
| Physician Assistant | 363A00000X | 4144-23 | WI |
| Physician Assistant, Medical | 363AM0700X | 4144-23 | WI |
| Physician Assistant, Surgical | 363AS0400X | 4144-23 | WI |
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 - Physician Assistant (MN); Practitioner - Physician Assistant (NC); Practitioner - Physician Assistant (TX); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 49 across 11 procedure codes |
| Paid by Medicare | $2,909 |
Part D prescriptions in 2024
| Prescriptions (claims) | 61 · 64 30-day fills |
|---|---|
| Total drug cost | $4,167 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 380 physician assistants in Saint Paul · All physician assistants in Minnesota