Individual provider Active NPI

Melissa Buchkovich, APRN

  • Family Nurse Practitioner
  • Lady Lake, FL
National Provider Identifier
1013637347
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020603 Issued in FL
Practice address
929 N US Highway 441 Ste 503
Lady Lake, FL 32159-3003
Phone
(352) 245-6922
Fax
(352) 245-6988
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11020603 FL Primary

Addresses

Primary practice location

929 N US Highway 441 Ste 503
Lady Lake, FL 32159-3003

Mailing address

10502 SE 29TH Ave
Ocala, FL 34480-7912
Phone (352) 245-6922

Other names 1

  • Melissa Anthony Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914000109 FL Practitioner - Nurse Practitioner 2961887807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohammed a Hossain MD, LLCGroup PAC ID 9436490570, 4 clinicians

Practice addresses (Care Compare)

929 N US Hwy 441
Suite 503
Lady Lake, FL 32159-3003
Phone (352) 578-2486

Hospital & facility affiliations

  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

Merit-based Incentive Payment System (MIPS)

Final score
98.37 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11020603FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammed a Hossain MD, LLC CurrentSince Aug 1, 2022 Accepting new patients
Sunshine Patient Care LLC PastSince Sep 4, 2022 Accepting new patients
Martino Rosalva MD PA PastSince Sep 4, 2022 Accepting new patients

Locations

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Interoperability endpoints

  • Direct secure messaging: mbuchkovich613274@direct.shands.ufl.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1013637347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 SE 29TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344807912",
            "telephone_number": "352-245-6922",
            "fax_number": "352-245-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N US HIGHWAY 441 STE 503",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593003",
            "telephone_number": "352-245-6922",
            "fax_number": "352-245-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHKOVICH",
        "first_name": "MELISSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ANTHONY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.