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CAROL JEAN BUTRUM NP-C
NPI 1821758475
Nurse Practitioner - Family in Evansville, IN

Active since December 22, 2021PECOS Enrolled
100 S ROSENBERGER AVE STE B400, EVANSVILLE, IN 47712(812) 485-1550(812) 485-1538 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2022, Dec 22, 2021 (2 updates tracked since 2021).

About Carol Jean Butrum Np-c NPPES

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

CAROL JEAN BUTRUM NP-C (NPI 1821758475) is an individual family provider in Evansville, Indiana, licensed in Indiana (71012048A) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821758475
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL JEAN BUTRUMCredential: NP-C
Location Address100 S ROSENBERGER AVE STE B400Evansville, IN 47712-6510
Mailing Address100 S Rosenberger Ave Ste B400Evansville, IN 47712-6510 · (812) 485-1566 · Fax (812) 485-1538
Phone(812) 485-1550
Fax(812) 485-1538
Sole ProprietorNo
Enumeration DateDecember 22, 2021
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1821758475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71012048A
100 S ROSENBERGER AVE STE B400, Evansville, IN 47712
Open in Google Maps ↗

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)

Carol Jean Butrum Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Carol Butrum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Mary's Medical Group, LLC
6.8 mi
Family Medicine
3700 WASHINGTON AVE
Evansville, IN 47750
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: St Marys Medical Group LLC
  • 288 clinicians in this Medicare group
NPI 1164852539 (812) 485-4000

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 47712 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 3

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

DR. JILL SUZANNE SMITH MD
Pediatrics
100 S ROSENBERGER AVE STE B400
EVANSVILLE, IN 47712
Vanderburgh County (812) 485-1566
DR. THOMAS ALAN WEINZAPFEL M.D.
Pediatrics
100 S ROSENBERGER AVE STE B400
EVANSVILLE, IN 47712
Vanderburgh County (812) 485-1566
DR. KELLY NICOLE NIXON DO
Pediatrics
100 S ROSENBERGER AVE STE B400
EVANSVILLE, IN 47712
Vanderburgh County (812) 485-1566

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 Carol Butrum's NPI number?

The NPI number for Carol Butrum is 1821758475. It was assigned to this individual provider in the NPPES registry on December 22, 2021.

Where is Carol Butrum located?

Carol Butrum practices at 100 S Rosenberger Ave Ste B400, Evansville, IN 47712. The listed phone number is (812) 485-1550.

What is Carol Butrum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carol Butrum enrolled in Medicare?

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

Which organization bills Medicare for Carol Butrum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Butrum reassigns Medicare benefits to St Mary's Medical Group, LLC (Evansville, 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 Carol Butrum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Butrum accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Carol 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 Carol Butrum was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.