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

Mr. Jesse Van Butler, PA-C

Individual provider Surgical Physician Assistant · NPI 1376557769

Mr. Jesse Van Butler, PA-C is a Physician Assistant in Decorah, Iowa. Qualified in 2004, 22 years ago. Practices with Winneshiek Medical Center, a 99-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

901 Montgomery St
Decorah, IA 52101-2325
Phone: (563) 382-2911
Fax: (563) 387-1512
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 10116 (MN)

Record details

NPI number1376557769
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESMarch 8, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Winneshiek Medical Center — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare