Alissa Marie Buckanavage, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP022481 Issued in PA

Practice address

6223 Autumn View Dr
Harrisburg, PA 17112-1843

Phone

(570) 590-1056

NPI assigned

Sep 17, 2020

Last updated

Sep 17, 2020By 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 PA

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infusion Express of Pennsylvania PLLCGroup PAC ID 3678852282, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Infusion Express of Pennsylvania PLLC

  dba IVX Health

  • Infusion Therapy Clinic/Center
  • Malvern, PA
  • NPI 1184179236
  Medicare reassignment Care Compare group NPD
• Ivxpress Inc

  dba IVX Health

  • Infusion Therapy Clinic/Center
  • Overland Park, KS
  • NPI 1801025481
  NPD (past)

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1326654237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 AUTUMN VIEW DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121843",
            "telephone_number": "570-590-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 AUTUMN VIEW DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121843",
            "telephone_number": "570-590-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKANAVAGE",
        "first_name": "ALISSA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP022481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Bryden, O.D.
• Bti School Services LLC (Bti)
• Jeanine D Bucek, CRNP
• Dhara Buch, PT
• Donald Harrison Bucher, CRNP
• Thomas Buckley, DO
• Roger G Bucs, MD
• Becky J Budzina, LPC, BSL, NCC
• Samantha J Buffington
• Huong Bui, DDS

• Nurse Practitioner in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.