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EVAN MICHAEL BUCKMILLER DO
NPI 1396361853
Psychiatry & Neurology - Child & Adolescent Psychiatry in Mexico, MO

Active since June 22, 2020PECOS Enrolled
340 KELLEY PKWY, MEXICO, MO 65265(573) 582-1234(573) 582-1212 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 24, 2025, May 2, 2024, Oct 9, 2023 and 1 more (4 updates tracked since 2020).

About Evan Michael Buckmiller Do NPPES

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

EVAN MICHAEL BUCKMILLER DO (NPI 1396361853) is an individual child & adolescent psychiatry provider in Mexico, Missouri, licensed in Missouri (2021040122) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1396361853
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameEVAN MICHAEL BUCKMILLERCredential: DO
Location Address340 KELLEY PKWYMexico, MO 65265-3811
Mailing Address340 Kelley PkwyMexico, MO 65265-3811 · (573) 582-1234 · Fax (573) 582-1212
Phone(573) 582-1234
Fax(573) 582-1212
Sole ProprietorNo
Enumeration DateJune 22, 2020
Last NPPES UpdateFebruary 12, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1396361853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MO · 2021040122
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 2021040122 (MO)
340 KELLEY PKWY, Mexico, MO 65265
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 W Nifong Blvd Ste 300Columbia, MO 65203-5615 · Phone (573) 884-1130 · Fax (573) 884-5936

Other Identifiers 1

Medicaid200085648MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Michael Buckmiller Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Evan Buckmiller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Central Missouri Behavioral Health Services, Inc
3.0 mi
Mental Health (Including Community Mental Health Center)
340 KELLEY PARKWAY
Mexico, MO 65265
  • Reassigned Medicare billing, Missouri enrollment
  • 49 clinicians in this Medicare group
NPI 1144293549 (573) 582-1234
State Of Missouri
23 mi
Psychiatry
600 E 5TH ST
Fulton, MO 65251
  • Reassigned Medicare billing, Missouri enrollment
  • 39 clinicians in this Medicare group
NPI 1164477873 (573) 592-4100
Centerpointe Hospital Of Columbia, LLC
26 mi
Psychiatric Hospital
1201 INTERNATIONAL DRIVE
Columbia, MO 65202
  • Reassigned Medicare billing, Missouri enrollment
  • 31 clinicians in this Medicare group
NPI 1760973044 (636) 441-7300
The Curators Of The University Of Missouri
29 mi
Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group
NPI 1235126921 (573) 882-4141

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 20

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

KRISTEN ANN FISHBACK LCSW
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
MCKENZI KEA ROSS FNP
Nurse Practitioner (Family)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
PATRICIA ANN ERWIN LCSW
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
DR. DWIGHT E. MCLEOD D.D.S. M.S.
Dentist (Periodontics)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC
Psychologist (Rehabilitation)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
CYNTHIA MAE MACKEY LCSW
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
CATHERINE TERESA BROWNING APN
Nurse Practitioner (Psychiatric/Mental Health)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
AI-CHIEH LIN PHARMD
Pharmacist
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 567-5173

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 Evan Buckmiller's NPI number?

The NPI number for Evan Buckmiller is 1396361853. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Evan Buckmiller located?

Evan Buckmiller practices at 340 Kelley Pkwy, Mexico, MO 65265. The listed phone number is (573) 582-1234.

What is Evan Buckmiller's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Evan Buckmiller enrolled in Medicare?

Yes. Evan Buckmiller is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Evan Buckmiller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Buckmiller reassigns Medicare benefits to 4 organizations: East Central Missouri Behavioral Health Services, Inc (Mexico, MO), State Of Missouri (Fulton, MO), Centerpointe Hospital Of Columbia, LLC (Columbia, MO) and The Curators Of The University Of Missouri (Columbia, MO). Each 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 Evan Buckmiller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Buckmiller accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 4 other insurers list Evan Buckmiller 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 Evan Buckmiller was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.