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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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Bailey Butrum accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource 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 with the weekly NPPES data releases published by CMS.