JACQUELYN BUFFO
NPI 1104231729
Counselor - Professional in Clinton Township, MI
About Jacquelyn Buffo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN BUFFO (NPI 1104231729) is an individual professional provider in Clinton Township, Michigan, licensed in Michigan (6401013525) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Orion.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacquelyn Buffo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacquelyn Buffo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLINTON TOWNSHIP, MI 48038
CLINTON TOWNSHIP, MI 48038
CLINTON TOWNSHIP, MI 48038
CLINTON TOWNSHIP, MI 48038
CLINTON TOWNSHIP, MI 48038
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacquelyn Buffo's NPI number?
The NPI number for Jacquelyn Buffo is 1104231729. It was assigned to this individual provider in the NPPES registry on June 23, 2014.
Where is Jacquelyn Buffo located?
Jacquelyn Buffo practices at 15420 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 226-7007.
What is Jacquelyn Buffo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jacquelyn Buffo enrolled in Medicare?
Yes. Jacquelyn Buffo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacquelyn Buffo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Buffo reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Buffo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelyn Buffo accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Jacquelyn Buffo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacquelyn Buffo was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacquelyn Buffo · NPI 1104231729
Professional provider in Clinton Township, Michigan. Individual provider, active in the CMS NPPES registry since June 23, 2014.
## Identity
- **NPI:** 1104231729 (Entity type: Individual)
- **Enumerated:** June 23, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401013525 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15420 19 MILE RD, Clinton Township, MI 48038-6339
- **Phone:** (586) 226-7007
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Henry Ford Health System (NPI 1114001468, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1104231729) · Data from the CMS NPPES public registry.