Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly D. Butterfield, RPA

Individual provider Surgical Physician Assistant · NPI 1407980360

Kelly D. Butterfield, RPA is a Physician Assistant in Averill Park, New York. Qualified in 1989, 37 years ago. Practices with St Peters Hospital of the City of Albany, a 268-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
37
Licensed in
NY
In the registry since
2007

Practice location Address checks out

66 Hoffman Rd
Averill Park, NY 12018-4511
Phone: (518) 674-0504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 S Manning Blvd, Albany, NY 12208-1707 — (518) 525-1550

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 003827 (NY)

Record details

NPI number1407980360
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice St Peters Hospital Of The City Of Albany — 268 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount