Katharine Ann Buck, APRN
Individual provider Active NPI Family Nurse Practitioner · Lakeland, FL
NPI 1376159145 · NPPES record last updated Jan 21, 2022
Key facts
- NPI
- 1376159145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11009195 (FL)
- Practice address
- 1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019 - Phone
- (863) 680-7190
- Fax
- (866) 264-8519
- NPI assigned
- Sep 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Watson Clinic LLP
Practice addresses (Care Compare)
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone (863) 680-7000
Hospital & facility affiliations
- Amedisys Home Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.18 of 100
- Quality
- 70.68
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211214000300 | FL | Practitioner - Nurse Practitioner | 4880084409 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9361466 | FL | MD | Registered Nurse |
| APRN11009195 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watson Clinic LLP | Current |
Accepting new patients |
Locations
1600 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7190
Interoperability endpoints
- kbuck20522@direct.watsonclinicad.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11009195 | FL | Yes |
| Registered Nurse | 163W00000X | RN9361466 | FL | |
| Nurse Practitioner | 363L00000X | APRN11009195 | FL |
Addresses
Primary practice location
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Mailing address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone (863) 680-7000
Other names
- Katharine Ann Meyer
Other providers in Lakeland, FL
- Heaven Leigh Buchanan
- Michael James Buchanan
- Phillip James Buchanan
- Tessely Buchanan
- Brookelyn Buchanon
- Emily Buckel
- Donna Lee Buckner
- Jean Vano Budlong
- Salvador Iyog Budlong III
- Yesmeli Bueno Bautista
All providers in Lakeland, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.