JACQUELINE SUZANNE BUTLER (FNP) – Family Nurse Practitioner, NPI 1083818835

JACQUELINE SUZANNE BUTLER (FNP) is a healthcare provider. based in Williamsport, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209007474 (IL). The NPI Number for JACQUELINE SUZANNE BUTLER (FNP) is 1083818835

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE SUZANNE BUTLER (FNP)
NPI
1083818835
Phone
(765) 762-4170
Address
1731 RINGER LN
Enumeration Date
14 June 2007
Last Update Date
9 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172585900
Graduation Year
2006 (20 years ago)
PAC ID
2860581436
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20091118000153
Address ID
IL619389388MA200XXSXXX400

Contacts

Secure Messaging
jacqueline.cole.2@7598.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

8,191 NURSE PRACTITIONER in IN

Provider Addresses for JACQUELINE SUZANNE BUTLER (FNP)

  • 1731 RINGER LN

    WILLIAMSPORT, IN 479938900

    Phone: (765) 762-4170

    Type: Location

  • 590 PIT RD

    BROWNSBURG, IN 461127830

    Phone: (317) 456-1200

    Type: Location

  • 611 W Park St

    Urbana, IL 618012501

    Phone: (217) 383-2410

    Type: Location

  • 300 North Meridian, 300, North Meridian Street, Indianapolis, Marion, Indiana, 46204, United States

    INDIANAPOLIS, IN 462901024

    Phone:

    Type: Mailing

  • 13250 HAZEL DELL PKWY STE 104

    CARMEL, IN 460338527

    Phone: (317) 415-6900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-02-17 • Largest payer in this snapshot: Teleflex LLC ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Teleflex LLC$28
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: 2009-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20071204000772INurse PractitionerINTBD
I20091118000153INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes195185$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza4342$0
81003Automated urinalysis test3938$0
99214Established patient office or other outpatient visit, 30-39 minutes3635$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 47993)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

What identifier follows JACQUELINE SUZANNE BUTLER (FNP) across health systems?
The NPI 1083818835 uniquely identifies JACQUELINE SUZANNE BUTLER (FNP) in U.S. healthcare data.
Does the public listing show JACQUELINE SUZANNE BUTLER (FNP) as active?
JACQUELINE SUZANNE BUTLER (FNP)'s NPI record reflects an active status in NPPES.
Which specialty label fits JACQUELINE SUZANNE BUTLER (FNP)?
NPPES ties JACQUELINE SUZANNE BUTLER (FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit JACQUELINE SUZANNE BUTLER (FNP) in Williamsport, Indiana?
For routing, start with Williamsport, Indiana for JACQUELINE SUZANNE BUTLER (FNP), then verify phone and hours locally.
Can I export JACQUELINE SUZANNE BUTLER (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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