Individual provider Active NPI

Sara Jessica Buckhorn, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1790314326
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020008399 Issued in MO
Practice address
232 S Woods Mill Rd Ste 330
Chesterfield, MO 63017-3467
Phone
(314) 205-6737
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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 2020008399 MO Primary

Addresses

Primary practice location

232 S Woods Mill Rd Ste 330
Chesterfield, MO 63017-3467

Mailing address

290 Village Mead Dr
Ballwin, MO 63021-6129
Phone (314) 707-0643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20211115001597 MO Practitioner - Nurse Practitioner 2567851439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Van Amburg and Busiek MDS LLCGroup PAC ID 5294769246, 9 clinicians

Practice addresses (Care Compare)

232 S Woods Mill Rd
Suite 330E
Chesterfield, MO 63017-3467
Phone (314) 205-6737

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2020008399MOMDFamily Nurse Practitioner

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1790314326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 VILLAGE MEAD DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216129",
            "telephone_number": "314-707-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD STE 330",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173467",
            "telephone_number": "314-205-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKHORN",
        "first_name": "SARA",
        "middle_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020008399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.