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

Mrs. Staci Lynn Butler, CRNP

Individual provider Family Nurse Practitioner · NPI 1215545116

Mrs. Staci Lynn Butler, CRNP is a Nurse Practitioner in Salisbury, Maryland. Qualified in 2023, 3 years ago. Practices with Moonshot Psychiatric Nurse Practitioner PC, a 76-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2020
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

505 E Main St
Salisbury, MD 21804-5020
Phone: (410) 341-3420
Fax: (410) 341-3397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 431 E Main St, Salisbury, MD 21804-5018 — (410) 341-3420

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R21881 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R221881 (MD)

Record details

NPI number1215545116
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Moonshot Psychiatric Nurse Practitioner Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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