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BUCILLA HEALTH SERVICES LLC
NPI 1356830756
Nurse Practitioner - Psychiatric/Mental Health in Burnsville Mn, MN

Active since May 02, 2018
1500 MCANDREWS RD W, BURNSVILLE MN, MN 55337(952) 892-9393(952) 892-9395 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2020, May 2, 2018 (2 updates tracked since 2018).

About Bucilla Health Services Llc NPPES

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

BUCILLA HEALTH SERVICES LLC (NPI 1356830756) is a healthcare organization registered as a psychiatric/mental health in Burnsville Mn, Minnesota and active in the NPI registry since May 2018. The organization lists Pennie Elizabeth Bucilla, Owner, as its authorized official.

NPPES Registry Identity

NPI1356830756
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBUCILLA HEALTH SERVICES LLC
Location Address1500 MCANDREWS RD WBurnsville Mn, MN 55337
Mailing Address1500 Mcandrews Rd WBurnsville Mn, MN 55337 · (952) 892-9393 · Fax (952) 892-9395
Phone(952) 892-9393
Fax(952) 892-9395
Organization SubpartNo
Authorized OfficialPennie Elizabeth BucillaOwner · (952) 892-9393
Enumeration DateMay 2, 2018
Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1356830756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · R156407-9
1500 MCANDREWS RD W, Burnsville Mn, MN 55337
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bucilla Health Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bucilla Health Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pennie Bucilla, APRN CNP
Nurse Practitioner
NPI 1104225499
1500 MCANDREWS RD W
Burnsville, MN 55337
(952) 892-9393
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bucilla Health Services LLC's NPI number?

The NPI number for Bucilla Health Services LLC is 1356830756. It was assigned to this organization in the NPPES registry on May 2, 2018.

Where is Bucilla Health Services LLC located?

Bucilla Health Services LLC is located at 1500 Mcandrews Rd W, Burnsville Mn, MN 55337. The listed phone number is (952) 892-9393.

What is Bucilla Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bucilla Health Services LLC enrolled in Medicare?

Yes. Bucilla Health Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bucilla Health Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bucilla Health Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bucilla Health Services LLC accept?

Health plans from HealthPartners list Bucilla Health Services LLC 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 Bucilla Health Services LLC was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.