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NICOLE A. BUCHANAN PA-C
NPI 1154558203
Physician Assistant in Orlando, FL

Active since June 16, 2009PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
1000 UNIVERSAL STUDIOS PLZ BLDG 3, ORLANDO, FL 32819(407) 355-0803(407) 355-0432 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole A. Buchanan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE A. BUCHANAN PA-C (NPI 1154558203) is an individual physician assistant in Orlando, Florida, licensed in Florida (PA9111824) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1154558203
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE A. BUCHANANCredential: PA-C
Location Address1000 UNIVERSAL STUDIOS PLZ BLDG 3Orlando, FL 32819-7601
Mailing Address1000 Universal Studios Plz Bldg 3Orlando, FL 32819-7601 · (407) 355-0803 · Fax (407) 355-0432
Phone(407) 355-0803
Fax(407) 355-0432
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 16, 2009
Last NPPES UpdateApril 9, 2019
✔ NPI 1154558203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9111824
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA053839 (PA)
1000 UNIVERSAL STUDIOS PLZ BLDG 3, Orlando, FL 32819
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Other Identifiers 1

Other2580778PA · Highmark

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole A. Buchanan Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860545407
PECOS Enrollment IDI20190415001065
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32819 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAPAN P BHATT D.O.
Family Medicine
1000 UNIVERSAL STUDIOS PLZ BLDG 3
ORLANDO, FL 32819
Orange County (407) 355-0803
DR. JULIANA A RAYMAKER MD
Family Medicine
1000 UNIVERSAL STUDIOS PLZ BLDG 3
ORLANDO, FL 32819
Orange County (407) 355-0803
MS. LAUREN MARIE MACHAMER ARNP
Nurse Practitioner (Family)
1000 UNIVERSAL STUDIOS PLZ BLDG 3
ORLANDO, FL 32819
Orange County (407) 355-0803

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 Nicole Buchanan's NPI number?

The NPI number for Nicole Buchanan is 1154558203. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Nicole Buchanan located?

Nicole Buchanan practices at 1000 Universal Studios Plz Bldg 3, Orlando, FL 32819. The listed phone number is (407) 355-0803.

What is Nicole Buchanan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Buchanan enrolled in Medicare?

Yes. Nicole Buchanan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Buchanan accept?

Health plans from Wellpoint list Nicole Buchanan 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.

Is Nicole Buchanan affiliated with any hospitals?

According to CMS data, Nicole Buchanan is affiliated with Adventhealth Orlando and Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Nicole Buchanan was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.