| Evangeline Diaz Butler, APRN FNP BC | |
|
21 Old Kings Rd N Unit 108, Palm Coast, FL 32137-8254 | |
| (386) 627-4553 | |
| (386) 232-5152 |
| Full Name | Evangeline Diaz Butler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 21 Old Kings Rd N Unit 108, Palm Coast, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710544911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN9320265 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | 11009579 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brooks Rehabilitation Home Health | Jacksonville, FL | Home health agency |
| Interim Healthcare Of St Augustine | Saint augustine, FL | Home health agency |
| Accentcare Home Health Of Daytona | Ormond beach, FL | Home health agency |
| Golden Heart Home Health Care | Orange park, FL | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caring Heart Family Nurse Practitioner Pllc | 2860809522 | 3 |
| Entity Name | Sound Physicians Of Florida Iv, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740633635 PECOS PAC ID: 6002198082 Enrollment ID: O20170127000352 |
| Entity Name | Caring Heart Family Nurse Practitioner Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043801772 PECOS PAC ID: 2860809522 Enrollment ID: O20210324001467 |
| Entity Name | Wound Care By Nurse Practitioners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700603529 PECOS PAC ID: 0042746406 Enrollment ID: O20241209001919 |
| Mailing Address | Practice Location Address |
|---|---|
| Evangeline Diaz Butler, APRN FNP BC 138 Wellstone Dr, Palm Coast, FL 32164-4111 Ph: (386) 627-4553 | Evangeline Diaz Butler, APRN FNP BC 21 Old Kings Rd N Unit 108, Palm Coast, FL 32137-8254 Ph: (386) 627-4553 |
Traci Lee Smith, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Cypress Point Pkwy Ste D102, Palm Coast, FL 32164 Phone: 386-230-4448 | |
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861 | |
Cynthia Michelle Baxter, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 381 Palm Coast Pkwy Sw Unit 2, Palm Coast, FL 32137 Phone: 386-232-8089 | |
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333 | |
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373 | |
Amanda Vera, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811 | |
Traci Serrano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720 |