EVANGELINE DIAZ BUTLER (APRN FNP BC) – Nurse Practitioner, NPI 1710544911

EVANGELINE DIAZ BUTLER (APRN FNP BC) is a healthcare provider. based in Omaha, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN FNP BC. They hold a License No. RN9320265 (FL). The NPI Number for EVANGELINE DIAZ BUTLER (APRN FNP BC) is 1710544911

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
EVANGELINE DIAZ BUTLER (APRN FNP BC)
NPI
1710544911
Phone
Not provided
Address
2425 S 171ST ST
Enumeration Date
22 May 2019
Last Update Date
23 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4075507077
Graduation Year
2020 (6 years ago)
PAC ID
3779990437
Group Practice PAC ID
2860809522
Professional Enrollment ID
I20210324001671
Address ID
FL329535034ME500XXBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

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Provider Addresses for EVANGELINE DIAZ BUTLER (APRN FNP BC)

  • Aureus Medical, 2425, South 171st Street, Millard, Omaha, Douglas County, Nebraska, 68130, United States

    OMAHA, NE 681302393

    Phone:

    Type: Mailing

  • Baptist Medical Center Jacksonville, 800, Prudential Drive, Jacksonville, Duval County, Florida, 32207, United States

    JACKSONVILLE, FL 322078202

    Phone: (904) 202-2000

    Type: Location

  • 138 WELLSTONE DR

    PALM COAST, FL 321644111

    Phone: (239) 222-8065

    Type: Location

  • 21 OLD KINGS RD N UNIT 108

    PALM COAST, FL 321378254

    Phone: (386) 627-4553

    Fax: (386) 232-5152

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $275.

Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.

Last reported payment date: 2023-09-28 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($150).

Total Amount

$275

General + Research + Ownership

Payments

2

Total payment records

General Amount

$275

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-28

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: 2021-03-24

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
I20210324001671INurse PractitionerFLTBD

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
99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month10759$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes7066$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5733$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes4519$0
99316Nursing facility discharge management, more than 30 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 68130)

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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: 2860809522View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do I look up EVANGELINE DIAZ BUTLER (APRN FNP BC) by NPI?
Use NPI 1710544911 when you need to reference EVANGELINE DIAZ BUTLER (APRN FNP BC) in forms, claims, or directories.
Does this profile mean EVANGELINE DIAZ BUTLER (APRN FNP BC) is currently active?
Yes — EVANGELINE DIAZ BUTLER (APRN FNP BC) appears active in the national provider directory.
What kind of provider is EVANGELINE DIAZ BUTLER (APRN FNP BC)?
The page reflects Nurse Practitioner for EVANGELINE DIAZ BUTLER (APRN FNP BC). Clinical services aligned with this taxonomy classification.
Does EVANGELINE DIAZ BUTLER (APRN FNP BC) practice in Nebraska?
You will see Omaha, Nebraska on file for EVANGELINE DIAZ BUTLER (APRN FNP BC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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