JENNIFER BUCKNAM
NPI 1295402261
Nurse Practitioner - Family in Palmyra, VA
About Jennifer Bucknam NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER BUCKNAM (NPI 1295402261) is an individual family provider in Palmyra, Virginia, licensed in Virginia (0024182224) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Powhatan.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Bucknam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Bucknam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arlington, VA 22203
- Reassigned Medicare billing, Virginia enrollment
- 1,315 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22963 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jennifer Bucknam's NPI number?
The NPI number for Jennifer Bucknam is 1295402261. It was assigned to this individual provider in the NPPES registry on August 26, 2021.
Where is Jennifer Bucknam located?
Jennifer Bucknam practices at 28 Abby Rd, Palmyra, VA 22963. The listed phone number is (434) 589-2278.
What is Jennifer Bucknam's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Bucknam enrolled in Medicare?
Yes. Jennifer Bucknam is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Bucknam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Bucknam reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). 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 Jennifer Bucknam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Bucknam was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jennifer Bucknam · NPI 1295402261
Family physician in Palmyra, Virginia. Individual provider, active in the CMS NPPES registry since August 26, 2021.
## Identity
- **NPI:** 1295402261 (Entity type: Individual)
- **Enumerated:** August 26, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024182224 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 28 ABBY RD, Palmyra, VA 22963-2085
- **Phone:** (434) 589-2278
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Privia Medical Group, LLC (NPI 1013042480, Arlington, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1295402261) · Data from the CMS NPPES public registry.