TIANA J. BUTLER (AGNP-C) – Adult Health Nurse Practitioner, NPI 1164203303
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for TIANA J. BUTLER (AGNP-C)
PO BOX 1087
FLORISSANT, MO 630310087
Phone: (314) 358-9301
Type: Mailing
615 S NEW BALLAS RD
SAINT LOUIS, MO 631418221
Phone: (314) 251-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,228.
Total Amount is formed as General ($1,228) + Research ($0) + Ownership ($0) = $1,228.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($219).
Total Amount
$1,228
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,228
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $219 |
| Alkermes, Inc. | $122 |
| Kyowa Kirin, Inc. | $122 |
| GENZYME CORPORATION | $117 |
| Bayer Healthcare Pharmaceuticals Inc. | $113 |
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: 2024-10-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240222000541 | I | Nurse Practitioner | MO | TBD |
| I20241021002957 | I | Nurse Practitioner | IL | TBD |
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.
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 63031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | CA | |
| Nurse Practitioner | MO | |
| Internal Medicine, Hospitalist | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Internal Medicine | MO |
Reviews
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