DR. NICOLE RAE VAN BUREN M.D.
NPI 1316206899
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Dr. Nicole Rae Van Buren M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE RAE VAN BUREN M.D. (NPI 1316206899) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nicole Rae Van Buren M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Van Buren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 13,921 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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 Van Buren's NPI number?
The NPI number for Nicole Van Buren is 1316206899. It was assigned to this individual provider in the NPPES registry on May 3, 2012.
Where is Nicole Van Buren located?
Nicole Van Buren practices at 4950 W Sunset Blvd Fl 4, Los Angeles, CA 90027. The listed phone number is (323) 783-1338.
What is Nicole Van Buren's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nicole Van Buren enrolled in Medicare?
Yes. Nicole Van Buren is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Van Buren's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Van Buren reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). 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 Nicole Van Buren'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 Nicole Van Buren was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Nicole Rae Van Buren, M.D. · NPI 1316206899
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 3, 2012.
## Identity
- **NPI:** 1316206899 (Entity type: Individual)
- **Enumerated:** May 3, 2012
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4950 W SUNSET BLVD FL 4, Los Angeles, CA 90027-5822
- **Phone:** (323) 783-1338
## 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:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1316206899) · Data from the CMS NPPES public registry.