Individual provider Active NPI

Abigail R Buesing, PA-C

  • Physician Assistant
  • Strawberry Point, IA
National Provider Identifier
1104968221
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001579 Issued in IA
Practice address
111 East Mission St
Strawberry Point, IA 52076
Phone
(563) 933-6277
Fax
(563) 933-6131
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001579 IA Primary

Addresses

Primary practice location

111 East Mission St
Strawberry Point, IA 52076

Mailing address

709 W Main St
P.O. Box 359
Manchester, IA 52057-0359
Phone (563) 927-7986

Other identifiers 1

IdentifierTypeStateIssuer
Q22765MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001579IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Strawberry Point Past Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1104968221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "address_2": "P.O. BOX 359",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520570359",
            "telephone_number": "563-927-7986",
            "fax_number": "563-927-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST MISSION ST",
            "city": "STRAWBERRY POINT",
            "state": "IA",
            "postal_code": "52076",
            "telephone_number": "563-933-6277",
            "fax_number": "563-933-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUESING",
        "first_name": "ABIGAIL",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q22765",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Strawberry Point, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.