JONATHAN PARK BUCKWALTER FNP-C
NPI 1427569110
Nurse Practitioner - Family in Prescott Valley, AZ

Q: What is Jonathan Buckwalter's NPI number?

The NPI number for Jonathan Buckwalter is 1427569110. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Q: What is Jonathan Buckwalter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 20, 2017PECOS Enrolled

3075 N WINDSONG DR STE A, PRESCOTT VALLEY, AZ 86314(928) 350-8780 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2020, Oct 16, 2018, Nov 17, 2017 and 1 more (4 updates tracked since 2017).

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About Jonathan Park Buckwalter Fnp-c NPPES

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

JONATHAN PARK BUCKWALTER FNP-C (NPI 1427569110) is an individual family provider in Prescott Valley, Arizona, licensed in Arizona (AP10723) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427569110

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJONATHAN PARK BUCKWALTERCredential: FNP-C

Location Address3075 N WINDSONG DR STE APrescott Valley, AZ 86314-1208

Mailing AddressPo Box 26568Prescott Valley, AZ 86312-6568 · (928) 778-1251 · Fax (928) 778-7834

Phone(928) 350-8780

Sole ProprietorNo

Enumeration DateOctober 20, 2017

Last NPPES UpdateJuly 30, 20204 updates tracked since enumeration

NPPES CertifiedJuly 30, 2020

✔ NPI 1427569110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP10723

Also ListedRegistered NurseTaxonomy 163W00000X · License RN174745 (AZ)

3075 N WINDSONG DR STE A, Prescott Valley, AZ 86314

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Park Buckwalter Fnp-c 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 Reassignment

Medicare enrollment records show Jonathan Buckwalter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yavapai Primary Care

Same address

Family Medicine

3075 N WINDSONG DR
Prescott Valley, AZ 86314

Reassigned Medicare billing, Arizona enrollment
13 clinicians in this Medicare group

NPI 1346871076 (928) 350-8780

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86314 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims12 services$17.62 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers22 claims24 services$90.54 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

RENEALLIA BENNETT NP

Nurse Practitioner (Primary Care)