Individual provider Active NPI

Elizabeth Anne Butler, PA-C

  • Surgical Physician Assistant
  • Naples, FL
National Provider Identifier
1598074718
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1423 Mockingbird Dr
Naples, FL 34120-1789
Phone
(610) 220-4479
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-08658 NC
Medical Physician Assistant 363AM0700X 3957 SC
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

1423 Mockingbird Dr
Naples, FL 34120-1789

Mailing address

1423 Mockingbird Dr
Naples, FL 34120-1789
Phone (610) 220-4479

Other names 1

  • Elizabeth A Nazar Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebutler723609@direct.novanthealth.org

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
I20240719001405 FL Practitioner - Physician Assistant 5597946939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians

Practice addresses (Care Compare)

11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7000

120 Moorings Park Dr
Naples, FL 34105-2122

130 Moorings Park Dr
Naples, FL 34105-2122

680 2ND Ave N
Suite 304
Naples, FL 34102-5757
Phone (239) 261-7711

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-08658NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd Inc CurrentSince May 15, 2025 Accepting new patients
Nchmd, Inc CurrentSince May 15, 2025 Accepting new patients
Neuroscience and Spine Associates PL Physician Assistant Past Accepting new patients

Locations

11190 Health Park Blvd
Bldg 2
Naples, FL 34110
Phone (239) 624-1700

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

130 Tamiami Trl N
Ste 220
Naples, FL 34102
Phone (239) 312-7800

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

Interoperability endpoints

  • Direct secure messaging: ebutler723609@direct.novanthealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1598074718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 MOCKINGBIRD DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201789",
            "telephone_number": "610-220-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 MOCKINGBIRD DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201789",
            "telephone_number": "610-220-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08658",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "3957",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebutler723609@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2141 N Harbor Blvd",
            "address_2": "suite 35000",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928353827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NAZAR",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.