Active NPI
Melissa Buchkovich, APRN
- Family Nurse Practitioner
- Lady Lake, FL
National Provider Identifier
1013637347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11020603
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
- Uf Health Leesburg Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.37 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 77.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11020603 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohammed a Hossain MD, LLC | Current | Accepting new patients | |
| Sunshine Patient Care LLC | Past | Accepting new patients | |
| Martino Rosalva MD PA | Past | Accepting new patients |
Locations
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
Interoperability endpoints
- 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.
-
- Nephrology Physician
- Lady Lake, FL
- NPI 1952872483
-
- Family Medicine Physician
- Mount Dora, FL
- NPI 1891356275
-
- Clinic/Center
- Oxford, FL
- NPI 1942714993
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.