JOVAN BUTLER (APRN) – Family Nurse Practitioner, NPI 1235783267

JOVAN BUTLER (APRN) is a healthcare provider. based in Willowbrook, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209019670 (IL). The NPI Number for JOVAN BUTLER (APRN) is 1235783267

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JOVAN BUTLER (APRN)
NPI
1235783267
Phone
(630) 581-5372
Address
40 75TH ST
Enumeration Date
29 July 2019
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7732334100
Graduation Year
2018 (8 years ago)
PAC ID
3870926157
Group Practice PAC ID
4284533183
Professional Enrollment ID
I20191126002403
Address ID
IL606281007CH9718XSTXX400

Contacts

Secure Messaging
jbutler383518@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for JOVAN BUTLER (APRN)

  • 40 75TH ST

    WILLOWBROOK, IL 605272325

    Phone: (630) 581-5372

    Type: Mailing

  • 5962, North Elston Avenue, Gladstone, Jefferson Park, Chicago, Jefferson Township, Cook County, Illinois, 60646, United States

    CHICAGO, IL 606465540

    Phone:

    Type: Mailing

  • 5962 N Elston Ave

    Chicago, IL 606465540

    Phone: (773) 774-7300

    Type: Location

  • 9555 S 52nd Ave

    Oak Lawn, IL 604533054

    Phone: (708) 634-0950

    Fax: (708) 634-0942

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,359.

Total Amount is formed as General ($1,359) + Research ($0) + Ownership ($0) = $1,359.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ViiV Healthcare Company ($595).

Total Amount

$1,359

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,359

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191126002403INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60527)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284533183View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Internal MedicineIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Internal Medicine, Addiction MedicineIL
-IL
Family PracticeIL

Reviews

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Frequently asked questions

Can I verify JOVAN BUTLER (APRN) with an NPI only?
You can start verification with NPI 1235783267 for JOVAN BUTLER (APRN), then check state licensing separately.
Is JOVAN BUTLER (APRN) still practicing?
JOVAN BUTLER (APRN) is currently listed as active in the public NPI registry.
What taxonomy line describes JOVAN BUTLER (APRN)?
For research purposes, treat JOVAN BUTLER (APRN) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JOVAN BUTLER (APRN) on a map?
Expect Willowbrook, Illinois as a primary anchor for JOVAN BUTLER (APRN) unless the record lists multiple sites.
Why does JOVAN BUTLER (APRN) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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