Individual provider Active NPI

Amanda Buksa

  • Family Nurse Practitioner
  • Akron, OH
National Provider Identifier
1326419268
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA. 18296-NP Issued in OH
Practice address
224 W Exchange St
#330
Akron, OH 44302-1704
Phone
(330) 436-3150
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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 COA. 18296-NP OH Primary

Addresses

Primary practice location

224 W Exchange St
#330
Akron, OH 44302-1704

Mailing address

224 W Exchange St
#330
Akron, OH 44302-1704
Phone (330) 436-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, SC, AZ, IL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160107002844 OH Practitioner - Nurse Practitioner 6406158419 Reassigns benefits to 2 organizations
I20240112000994 MI Practitioner - Nurse Practitioner 6406158419 Reassigns benefits to 1 organization
I20240122004250 SC Practitioner - Nurse Practitioner 6406158419 Reassigns benefits to 1 organization
I20240926001920 AZ Practitioner - Nurse Practitioner 6406158419 Reassigns benefits to 1 organization
I20260206001385 IL Practitioner - Nurse Practitioner 6406158419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

225 E Germann Rd
Suite 301
Gilbert, AZ 85297-2913
Phone (480) 722-9834

330 Saluda Springs Rd
Lexington, SC 29072-6890
Phone (720) 631-2400

5623 W Touhy Ave
Niles, IL 60714-4019
Phone (720) 703-5293

791 White Pond Dr
Akron, OH 44320-1136
Phone (330) 805-8939

7960 Grand River Rd
Suite 200
Brighton, MI 48114-7336
Phone (720) 703-5293

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA. 18296-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magis Emergency Medicine LLC CurrentSince Dec 28, 2015 Accepting new patients
Villagehealth DM LLC CurrentSince Sep 7, 2023 Accepting new patients

Locations

225 E Germann Rd
Ste 301
Gilbert, AZ 85297
Phone (480) 722-9834

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

5623 W Touhy Ave
Niles, IL 60714
Phone (847) 647-3140

7960 Grand River Rd
Ste 200
Brighton, MI 48114

791 White Pond Dr
Akron, OH 44320
Phone (330) 805-8939

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1326419268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W EXCHANGE ST",
            "address_2": "#330",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021704",
            "telephone_number": "330-436-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W EXCHANGE ST",
            "address_2": "#330",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021704",
            "telephone_number": "330-436-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKSA",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA. 18296-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.