Individual provider Active NPI

John Elwin Buckwalter, FNP-BC

  • Family Nurse Practitioner
  • Maricopa, AZ
National Provider Identifier
1063512184
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7376 Issued in AZ
Practice address
17900 N Porter Rd
Maricopa, AZ 85138-4228
Phone
(520) 233-2500
Fax
(520) 233-2688
NPI assigned
Sep 25, 2006
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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 AP7376 AZ Primary

Addresses

Primary practice location

17900 N Porter Rd
Maricopa, AZ 85138-4228

Mailing address

17900 N Porter Rd
Maricopa, AZ 85138-4228
Phone (520) 233-2500

Other identifiers 1

IdentifierTypeStateIssuer
969114MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150204002481 AZ Practitioner - Nurse Practitioner 2860673357

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20548 N Donithan Way
Maricopa, AZ 85138-2466

525 W Brown Rd
Mesa, AZ 85201-3202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7376AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC Current Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients

Locations (25 of 39)

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

3200 S Gilbert Rd
Chandler, AZ 85286
Phone (480) 471-6404

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

1641 E Guadalupe Rd
Gilbert, AZ 85234
Phone (480) 813-4233

1660 N Higley Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 827-5600

3126 S Higley Rd
Ste 109
Gilbert, AZ 85295
Phone (480) 436-8102

3160 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 827-5790

641 W Warner Rd
Gilbert, AZ 85233
Phone (480) 722-9828

4232 W Bell Rd
Glendale, AZ 85308
Phone (602) 639-4535

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

3328 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 239-0394

1120 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 558-5278

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

1157 S Crismon Rd
Ste 101
Mesa, AZ 85208
Phone (480) 827-5730

1215 S Higley Rd
Mesa, AZ 85206
Phone (480) 218-4022

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

1955 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 207-2990

407 N Lindsay Rd
Ste 103
Mesa, AZ 85213
Phone (480) 807-0084

21980 N 83rd Ave
Peoria, AZ 85383
Phone (623) 465-6375

7611 W Cactus Rd
Peoria, AZ 85381
Phone (623) 242-0049

1 N Central Ave
Ste 105
Phoenix, AZ 85004
Phone (602) 255-7520

1940 W Glendale Ave
Phoenix, AZ 85021
Phone (602) 255-7690

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1063512184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 N PORTER RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384228",
            "telephone_number": "520-233-2500",
            "fax_number": "520-233-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 N PORTER RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384228",
            "telephone_number": "520-233-2500",
            "fax_number": "520-233-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKWALTER",
        "first_name": "JOHN",
        "middle_name": "ELWIN",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "969114",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

Verify at the official NPI Registry.