Kiilani Kristen Lois Buczkowski, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP5242 Issued in AZ

Practice address

11333 N Scottsdale Rd
Scottsdale, AZ 85254-5185

Phone

(480) 998-1400

Fax

(808) 289-9066

NPI assigned

Nov 2, 2013

Last updated

Feb 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Scottsdale Skin Boutique and Dermatology PLLCGroup PAC ID 8426460221, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.05 of 100Reported as group

Quality

100

Improvement activities

40

Cost

13.49

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbuczkowski@ssbderm.emadirect.md
• Direct secure messaging: kiilanibuczkowski@ad.allscriptsdirect.net

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.

• Scottsdale Skin Boutique and Dermatology PLLC

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1801498704
  Medicare reassignment Care Compare group NPD
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141
  NPD (past)
• Richard Lee Averitte Jr PLLC

  dba Affiliated Dermatology

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1609291848
  NPD (past)
• Richard Lee Averitte Jr., PLLC

  dba Affiliated Dermatology

  • Non-Pharmacy Dispensing Site
  • Surprise, AZ
  • NPI 1598112831
  NPD (past)
• Richard Lee Averitte Jr., PLLC

  dba Affiliated Dermatology

  • Non-Pharmacy Dispensing Site
  • Anthem, AZ
  • NPI 1619428851
  NPD (past)

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1265861041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 N SCOTTSDALE RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545186",
            "telephone_number": "480-998-1400",
            "fax_number": "808-289-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545185",
            "telephone_number": "480-998-1400",
            "fax_number": "808-289-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCZKOWSKI",
        "first_name": "KIILANI",
        "middle_name": "KRISTEN LOIS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason David Buchwald, M.D.
• Michael Buckius, MFA
• Donald Leroy Bucklin, M.D.
• Melanie A Bucon, PT
• Matthew Bucur, PHARMD
• Amanda Budach, PT
• Pooja Budhiraja, M.D
• Tatum Pauline Budreau, M.S., CCC-SLP
• Amber Leigh Buell, ME
• Janice Michelle Buell, NURSE PRACTITIONER

• Family Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.

Verify at the official NPI Registry.