Individual provider Active NPI

Patricia J. Butterbaugh, ARNP

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1053493593
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9187794 Issued in FL
Practice address
1725 Cook Ave
Orlando, FL 32806-2911
Phone
(321) 843-9017
Fax
(321) 843-9019
NPI assigned
Oct 20, 2006
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9187794 FL
Pediatric Nurse Practitioner 363LP0200X ARNP9187794 FL Primary

Addresses

Primary practice location

1725 Cook Ave
Orlando, FL 32806-2911

Mailing address

1725 Cook Ave
Orlando, FL 32806-2911
Phone (321) 843-9017

Other identifiers 4

IdentifierTypeStateIssuer
32106OtherFLBCBS
5752463OtherFLAETNA
000902300MedicaidFL
ARNP9187794OtherFLMEDICAL LICENSE

Other names 1

  • Patricia Jean Sanders Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090824000667 FL Practitioner - Nurse Practitioner 5597819631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2013 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2013 Accepting new patients
Orlando Health Inc Past Accepting new patients
Internal Medicine & Primary Care Associates PLC PastSince Oct 15, 2009 Accepting new patients

Locations

1725 Cook Ave
Orlando, FL 32806
Phone (321) 843-9017

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

89 W Copeland Dr
Fl 3
Orlando, FL 32806
Phone (321) 841-3040

92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607

Interoperability endpoints

  • Direct secure messaging: pbutterbaugh36344@orlandohealth.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1053493593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 COOK AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062911",
            "telephone_number": "321-843-9017",
            "fax_number": "321-843-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 COOK AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062911",
            "telephone_number": "321-843-9017",
            "fax_number": "321-843-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERBAUGH",
        "first_name": "PATRICIA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9187794",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9187794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32106",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5752463",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000902300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP9187794",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "SANDERS",
            "middle_name": "JEAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.