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BAILEY NICOLE BUTRUM NP
NPI 1114813326
Nurse Practitioner - Pediatrics in Indianapolis, IN

Active since June 16, 2025PECOS Enrolled
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-3478(317) 944-8655 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2025, Jun 16, 2025 (2 updates tracked since 2025).

About Bailey Nicole Butrum Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAILEY NICOLE BUTRUM NP (NPI 1114813326) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71016815A) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114813326
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameBAILEY NICOLE BUTRUMCredential: NP
Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109
Mailing AddressPo Box 778912Chicago, IL 60677-8912 · (317) 777-6435 · Fax (317) 777-6644
Phone(317) 944-3478
Fax(317) 944-8655
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 16, 2025
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1114813326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in IN · 71016815A✔ Licensed in IN · 28244094A
705 RILEY HOSPITAL DR, Indianapolis, IN 46202
Open in Google Maps ↗

Other Identifiers 1

Medicaid300116846IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bailey Nicole Butrum Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183114978
PECOS Enrollment IDI20251110001903
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bailey Butrum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iu Health Medical Group, LLC
1.3 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHANNAD MOALLEM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
TIA IMHOFF MCGEE FNP-BC
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 312-2204
JOSHUA WAYNE GOLLUB
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
NOAH MENAKER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-3865
DR. ANAS NADER ATA ALJABARI MBBS
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (856) 398-9630
TALIA RAE BOOHER MB BCH BAO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7571
JANET R SHAVER NP
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Marion County (317) 944-4842
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bailey Butrum's NPI number?

The NPI number for Bailey Butrum is 1114813326. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Bailey Butrum located?

Bailey Butrum practices at 705 Riley Hospital Dr, Indianapolis, IN 46202. The listed phone number is (317) 944-3478.

What is Bailey Butrum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Bailey Butrum enrolled in Medicare?

Yes. Bailey Butrum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bailey Butrum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bailey Butrum reassigns Medicare benefits to Iu Health Medical Group, LLC (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bailey Butrum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bailey Butrum accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Bailey Butrum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bailey Butrum was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.