Individual provider Active NPI

Paula Joanne Buchwald, APRN

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1306303177
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000909 Issued in FL
Practice address
505 Oakfield Dr
Brandon, FL 33511-5700
Phone
(813) 684-2229
Fax
(813) 813-0330
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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 APRN11000909 FL Primary

Addresses

Primary practice location

505 Oakfield Dr
Brandon, FL 33511-5700

Mailing address

505 Oakfield Dr
Brandon, FL 33511-5700
Phone (813) 684-2229

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190625002524 FL Practitioner - Nurse Practitioner 3072847060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

505 Oakfield Dr
Brandon, FL 33511-5700
Phone (813) 738-6686

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Family CurrentSince Jan 1, 2021 Accepting new patients

Locations

401 Oakfield Dr
Brandon, FL 33511
Phone (813) 467-4725

505 Oakfield Dr
Brandon, FL 33511
Phone (813) 676-2273

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

1513 W Busch Blvd
Tampa, FL 33612
Phone (813) 738-6683

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: pbuchwald73714@adventhealth.direct-ci.com

Organizations & group practices 1

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": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1306303177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115700",
            "telephone_number": "813-684-2229",
            "fax_number": "813-813-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115700",
            "telephone_number": "813-684-2229",
            "fax_number": "813-813-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHWALD",
        "first_name": "PAULA",
        "middle_name": "JOANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.