Carol Jean Butrum, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71012048A Issued in IN

Practice address

100 S Rosenberger Ave Ste B400
Evansville, IN 47712-6510

Phone

(812) 485-1550

Fax

(812) 485-1538

NPI assigned

Dec 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carol.butrum.2@7598.direct.athenahealth.com

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.

• St Mary's Medical Group, LLC

  dba Ascension Medical Group St. Vincent Evansville

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1164852539
  Medicare reassignment NPD
• St Mary's Medical Group, LLC

  dba Ascension Medical Group St. Vincent Evansville

  • Nephrology Physician
  • Evansville, IN
  • NPI 1619307873
  NPD
• St. Mary's Health, Inc

  dba Ascension St. Vincent Evansville

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1497706287
  NPD (past)

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1821758475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ROSENBERGER AVE STE B400",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126510",
            "telephone_number": "812-485-1566",
            "fax_number": "812-485-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ROSENBERGER AVE STE B400",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126510",
            "telephone_number": "812-485-1550",
            "fax_number": "812-485-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTRUM",
        "first_name": "CAROL",
        "middle_name": "JEAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012048A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carol.butrum.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "100 S Rosenberger Ave Ste B400",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477126510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jane Paulette Butler
• Robert John Butler, PHD, PT
• Sydney Marie Altmeyer Butler, MOT
• Teketa Butler
• Toni M Butler, M.S.CCC-SLP
• Anne E Butsch, MD
• Stephanie Butts, PTA
• Donna Buxton
• John Alexander Buxton, PH.D.//1929
• Lesley Byers

• Family Nurse Practitioner in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.