Individual provider Active NPI

Suzanne A Butz, FNP

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1063841955
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
583428 Issued in TX
Practice address
3802 Calclaw Drive
Abilene, TX 79606-8253
Phone
(325) 690-1500
Fax
(325) 690-1578
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 583428 TX Primary

Addresses

Primary practice location

3802 Calclaw Drive
Abilene, TX 79606-8253

Mailing address

3802 Catclaw Dr
Abilene, TX 79606-8253
Phone (325) 690-1500

Other names 1

  • Suzanne A Malone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140122000450 TX Practitioner - Nurse Practitioner 6103054010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Primary Care TX PLLCGroup PAC ID 0840501508, 14 clinicians

Practice addresses (Care Compare)

1634 State Hwy 351
Abilene, TX 79601-4746
Phone (325) 676-1100

3802 Catclaw Dr
Abilene, TX 79606-8253
Phone (325) 690-1500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
583428TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Primary Care Texas PLLC CurrentSince Sep 15, 2015 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1634 State Highway 351
Abilene, TX 79601
Phone (325) 676-1100

3802 Catclaw Dr
Abilene, TX 79606
Phone (325) 338-3114

Interoperability endpoints

  • Direct secure messaging: suzanne.butzfnp.p14@direct.nextcare.nextgenshare.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1063841955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 CATCLAW DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068253",
            "telephone_number": "325-690-1500",
            "fax_number": "325-690-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 CALCLAW DRIVE",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068253",
            "telephone_number": "325-690-1500",
            "fax_number": "325-690-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZ",
        "first_name": "SUZANNE",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "583428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "MALONE",
            "middle_name": "A",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.