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

Mrs. Krystal Ann Butcher, PA

Individual provider Physician Assistant · NPI 1356618359

Mrs. Krystal Ann Butcher, PA is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2011, 15 years ago. Practices with Kidney Specialists of Minnesota, PA, a 33-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Guam.

Years since qualifying
15
Licensed in
GU
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2219 Youngman Ave Apt 2
Saint Paul, MN 55116-3016
Phone: (763) 204-1544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 736 Route 4, Sinajana, 96910 — (671) 649-7232

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-83 (GU)

Record details

NPI number1356618359
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 19, 2011
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Kidney Specialists Of Minnesota, Pa — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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