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BLAKE BUTLER APN-CRNA
NPI 1467153148
Nurse Anesthetist, Certified Registered in Evanston, IL

Active since March 10, 2023PECOS EnrolledAccepts Medicare Assignment
2650 RIDGE AVE, EVANSTON, IL 60201(847) 570-1959 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2024, Nov 8, 2023, Mar 10, 2023 (3 updates tracked since 2023).

About Blake Butler Apn-crna NPPES

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

BLAKE BUTLER APN-CRNA (NPI 1467153148) is an individual nurse anesthetist, certified registered in Evanston, Illinois, licensed in Illinois (209028636) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Hospital - Elgin, and maintains a secondary practice location in Elmhurst.

NPPES Registry Identity

NPI1467153148
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBLAKE BUTLERCredential: APN-CRNA
Location Address2650 RIDGE AVEEvanston, IL 60201-1700
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 982-6715
Phone(847) 570-1959
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 10, 2023
Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1467153148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209028636
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 041.443514 (IL)
2650 RIDGE AVE, Evanston, IL 60201
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Secondary Practice Location 1

Location 1155 E Brush Hill RdElmhurst, IL 60126-5658 · Phone (331) 221-3521

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blake Butler Apn-crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163870098
PECOS Enrollment IDI20231201002877
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 Reassignments

5

Medicare enrollment records show Blake Butler reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group
Same address
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760
Loyola University Medical Center
16 mi
General Practice
2160 S 1ST AVE
Maywood, IL 60153
  • Reassigned Medicare billing, Illinois enrollment
  • 1,138 clinicians in this Medicare group
NPI 1336159961 (708) 216-3215
Ias Illinois PC
36 mi
Anesthesiology
2525 KANEVILLE RD
Geneva, IL 60134
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1265118723 (630) 584-1400
Northstar Anesthesia Of Illinois, LLC
823 mi
Anesthesiology
2000 E LAMAR BLVD STE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group
NPI 1962822395 (817) 583-7421
Allied Anesthesia Associates, P.C.
Interventional Pain Medicine
1200 MAPLE RD
Joliet, IL 60432
  • Reassigned Medicare billing, Illinois enrollment
  • 131 clinicians in this Medicare group
NPI 1750330742 (815) 740-1100

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
29 services29 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
28 services28 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
21 services19 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
16 services16 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presence Saint Joseph Hospital - Elgin

Acute Care Hospitals · Elgin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140217
Location77 N Airlite StreetElgin, IL 60123 · Kane County
Emergency services

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

DR. THOMAS LEE CIBULL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-2040
LAUREN ANDERSON MD
Hospitalist
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-1027
DR. DANIEL K. WEST MD
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201
Cook County (847) 570-2475
JOEL BERNSTEIN M.D.
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-1206
MATTHEW R. SHERWOOD MD
Internal Medicine
2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201
Cook County (847) 570-1010
MICHAEL T. GILLAM M.D.
Emergency Medicine
2650 RIDGE AVE, EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201
Cook County (847) 570-2114
MARLENE ANGELICO CNP
Nurse Practitioner (Acute Care)
2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201
Cook County (847) 570-1355
MINA KEROLOS MD
Hospitalist
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-1010

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 Blake Butler's NPI number?

The NPI number for Blake Butler is 1467153148. It was assigned to this individual provider in the NPPES registry on March 10, 2023.

Where is Blake Butler located?

Blake Butler practices at 2650 Ridge Ave, Evanston, IL 60201. The listed phone number is (847) 570-1959.

What is Blake Butler's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Blake Butler enrolled in Medicare?

Yes. Blake Butler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Blake Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Butler reassigns Medicare benefits to 5 organizations: Endeavor Health Medical Group (Evanston, IL), Loyola University Medical Center (Maywood, IL), Ias Illinois PC (Geneva, IL), Northstar Anesthesia Of Illinois, LLC (Arlington, TX) and Allied Anesthesia Associates, P.C. (Joliet, IL). Each 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 Blake Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Butler accept?

Health plans from Oscar Health list Blake Butler 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.

Is Blake Butler affiliated with any hospitals?

According to CMS data, Blake Butler is affiliated with Presence Saint Joseph Hospital - Elgin and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Blake Butler was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.