MR. GREGORY ROBERT BUCKINGHAM MSN, AGACNP-BC
NPI 1184359713
Nurse Practitioner - Acute Care in Indianapolis, IN

Q: What is Gregory Buckingham's NPI number?

The NPI number for Gregory Buckingham is 1184359713. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Q: What is Gregory Buckingham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since July 18, 2022PECOS EnrolledAccepts Medicare Assignment

5255 E STOP 11 RD STE 450, INDIANAPOLIS, IN 46237(317) 865-4800(317) 865-4806 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2026, Apr 14, 2023, Nov 1, 2022 and 1 more (4 updates tracked since 2022).

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About Mr. Gregory Robert Buckingham Msn, Agacnp-bc NPPES

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

MR. GREGORY ROBERT BUCKINGHAM MSN, AGACNP-BC (NPI 1184359713) is an individual acute care provider in Indianapolis, Indiana, licensed in Indiana (71012765A) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184359713

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMR. GREGORY ROBERT BUCKINGHAMCredential: MSN, AGACNP-BC

Location Address5255 E STOP 11 RD STE 450Indianapolis, IN 46237-6342

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800

Phone(317) 865-4800

Fax(317) 865-4806

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 18, 2022

Last NPPES UpdateApril 22, 20264 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1184359713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in IN · 71012765A✔ Licensed in IN · 71012765B

5255 E STOP 11 RD STE 450, Indianapolis, IN 46237

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mr. Gregory Robert Buckingham Msn, Agacnp-bc 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 ID6305213364

PECOS Enrollment IDI20221103001322

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

KYLE NORRIS SEUDEAL MD

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