Are you Ryen L. Butler, ACNPC-AG? This profile is yours to edit: update your address, phone, photo and services.
Edit this profileRyen L. Butler, ACNPC-AG is a healthcare provider in Fredericksburg, VA specializing in hospice & palliative medicine. Ryen is also listed as specializing in nurse practitioner — acute care. Medicare claims data shows Ryen provided 176 services to 145 patients. The services billed most often include advance care planning, first 30 minutes, advance care planning, first 30 minutes, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more. This provider record is associated with NPI 1346013075.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
4501 EMPIRE CT
Fredericksburg, VA 22408
4545 Empire Ct
Fredericksburg, VA 22408
125 Woodstream Blvd Ste 205
Stafford, VA 22556
1201 Sam Perry Blvd Ste 215
Fredericksburg, VA 22401
Within Hospice and Palliative Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Cancer Pain
Digestive & Nutrition
End of Life Symptoms
Mental Health
Neurological
Nutrition & Digestion
Pain & Symptoms
Skin & Wound
Skin Conditions
Urinary & Bowel
Cancer Care
Chronic Illness
Fluid & Swelling
Lung Conditions
Mouth & Throat
Nerve & Pain
Sleep & Mental Health
Wound Care
Breathing Support
Cancer care
Care Planning
Catheter & Line Care
Consultations
Counseling & Support
Elder care
End of Life Care
Hospice Care
Hospice Services
Medication Management
Pain
Personal Care
Rehabilitation & Mobility
Specialized Care
Support Services
Wound Care
Fluid Drainage
Pain Management
176 services · 145 patients · 7 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Advance care planning, first 30 minutes | Office visit | 99497 |
45 | More often than most peers in Hospice & Palliative Medicine |
| Advance care planning, first 30 minutes | Office visit | 99497 |
42 | More often than most peers in Hospice & Palliative Medicine |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
21 | Less often than most peers in Hospice & Palliative Medicine |
| New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | Office visit | 99205 |
20 | As often as other peers in Hospice & Palliative Medicine |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
19 | Less often than most peers in Hospice & Palliative Medicine |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
15 | Less often than most peers in Hospice & Palliative Medicine |
| Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | Office visit | 99306 |
14 | Less often than most peers in Hospice & Palliative Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Ryen L. Butler is a hospice & palliative medicine in Fredericksburg, VA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Ryen L. Butler is listed at 4501 Empire CT, Fredericksburg, VA 22408. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (540) 371-0079. Contact the office directly to confirm availability and scheduling.
NPI registry
Ryen L. Butler's National Provider Identifier is 1346013075. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Ryen L. Butler attended Other, graduating in 2023. This comes from the CMS National Downloadable File.
CMS public data
Ryen L. Butler has 3 years experience. Calculated from a graduation year of 2023, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Ryen L. Butler the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Ryen L. Butler. If this is you, claiming it is free.
Guide.md
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