Individual provider Active NPI

Janice M Budzine, ARNP

  • Nurse Practitioner
  • Manchester, IA
National Provider Identifier
1174521777
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A075021 Issued in IA
Practice address
709 W Main St
Manchester, IA 52057-1526
Phone
(563) 927-7777
Fax
(563) 927-5247
NPI assigned
Jul 8, 2005
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A075021 IA Primary

Addresses

Primary practice location

709 W Main St
Manchester, IA 52057-1526

Mailing address

709 W Main St
Manchester, IA 52057-1526
Phone (563) 927-2629

Other practice location 1

345 1st St S
Winthrop, IA 50682-9759
Phone (563) 935-3343

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbudzine@regmedctr.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20060808000395 IA Practitioner - Nurse Practitioner 2769485960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

345 1St St S
Winthrop, IA 50682-9759
Phone (319) 935-3343

709 W Main St
Manchester, IA 52057-1526

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.17 of 100Reported as apm
Quality
55.61
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
075021IAMDMental Health Counselor
A075021IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
People's Memorial Hospital CurrentSince Jul 1, 2016 Accepting new patients
Delaware County Memorial Hospital CurrentSince Jan 5, 2010 Accepting new patients
People's Memorial Hospital CurrentSince Jul 1, 2016 Accepting new patients
Delaware County Memorial Hospital CurrentSince Jan 5, 2010 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients

Locations

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

613 W Main St
Manchester, IA 52057
Phone (319) 927-2629

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

345 1st St S
Winthrop, IA 50682
Phone (319) 935-3343

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8fdd186f-a014-47f3-8c9e-d61f95a9a6ea/
  • Direct secure messaging: jbudzine@regmedctr.org
  • Direct secure messaging: jbudzine488023@direct.unitypoint.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1174521777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571526",
            "telephone_number": "563-927-2629",
            "fax_number": "563-927-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571526",
            "telephone_number": "563-927-7777",
            "fax_number": "563-927-5247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 1st St S",
            "address_purpose": "LOCATION",
            "city": "Winthrop",
            "state": "IA",
            "postal_code": "506829759",
            "country_code": "US",
            "telephone_number": "563-935-3343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDZINE",
        "first_name": "JANICE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A075021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbudzine@regmedctr.org",
            "affiliation": "N",
            "endpointDescription": "Regional Medical Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "709 W Main St",
            "city": "Manchester",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520571526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, IA

Sources for this page

Verify at the official NPI Registry.