Jordan Buchla
Individual provider Active NPI Nurse Practitioner · Newtown, CT
NPI 1386480705 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1386480705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 13415 (CT)
- Practice address
- 32 Church Hill Rd
Newtown, CT 06470-1638 - Phone
- (203) 491-2999
- Fax
- (203) 666-5651
- NPI assigned
- Jul 4, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Rejuvenation Therapy
Practice addresses (Care Compare)
32 Church Hill Rd
BLDG E
Newtown, CT 06470-1638
Phone (203) 491-2999
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20250714000492 | CT | Practitioner - Nurse Practitioner | 2264947829 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13415 | CT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rejuvenation Therapy | Current |
Accepting new patients |
Locations
32 Church Hill Rd
Bldg E
Newtown, CT 06470
Phone (203) 491-2999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 13415 | CT | Yes |
Addresses
Primary practice location
32 Church Hill Rd
Newtown, CT 06470-1638
Mailing address
32 Church Hill Rd
Newtown, CT 06470-1638
Phone (203) 491-2999
Other providers in Newtown, CT
- Emma L Breyan
- Lindsey Breyan
- Gretchen Briggs
- Sarita Lillian Britto
- Joel Brook
- Jennifer Burns
- Riley J Burns
- Beth A Buscher
- Lisa P Capitani
- Care Bridge Home Care LLC
All providers in Newtown, CT · Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2026. 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.