Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE SZUDY BUATALA RN, MSN, FNP, PMHNP
NPI 1568985257
Nurse Practitioner - Psychiatric/Mental Health in Woodbury, MN

Active since July 25, 2017PECOS Enrolled
6063 HUDSON RD, STE 300 OFC 318, WOODBURY, MN 55125(651) 217-8044 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Feb 10, 2025, Dec 17, 2021 and 2 more (5 updates tracked since 2017).

About Nicole Szudy Buatala Rn, Msn, Fnp, Pmhnp NPPES

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

NICOLE SZUDY BUATALA RN, MSN, FNP, PMHNP (NPI 1568985257) is an individual psychiatric/mental health provider in Woodbury, Minnesota, licensed in Minnesota (5299) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vadnais Heights, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1568985257
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE SZUDY BUATALACredential: RN, MSN, FNP, PMHNP
Location Address6063 HUDSON RD, STE 300 OFC 318Woodbury, MN 55125-4454
Mailing Address6063 Hudson Rd, Ste 300 Ofc 318Woodbury, MN 55125-4454 · (651) 217-8044 · Fax (970) 230-6834
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 25, 2017
Last NPPES UpdateOctober 28, 20265 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1568985257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MN · 5299✔ Licensed in WI · 9918
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5299 (MN)
6063 HUDSON RD, Woodbury, MN 55125

Other Names 1

Former Name (1)Nicole Marie Szudy

Secondary Practice Location 1

Location 13555 Willow Lake BlvdVadnais Heights, MN 55110-5131 · Phone (952) 431-5330

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Szudy Buatala Rn, Msn, Fnp, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860758851
PECOS Enrollment IDI20171107003224, I20200323000429
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 Nicole Buatala reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult Mental Health
3640 TALMAGE CIR STE 216
Vadnais Heights, MN 55110
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 21 clinicians in this Medicare group
Adolescent and Children Mental Health
3333 UNIVERSITY AVE SE
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 228 clinicians in this Medicare group
Counseling
1833 3RD AVE
Anoka, MN 55303
  • Reassigned Medicare billing, Minnesota enrollment
  • 145 clinicians in this Medicare group
Critical Access
1100 BERGSLIEN ST
Baldwin, WI 54002
  • Reassigned Medicare billing, Wisconsin enrollment
  • 211 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
6063 HUDSON RD, SUITE 200
WOODBURY, MN 55125
Psychologist (Clinical)
6063 HUDSON RD, SUITE 200
WOODBURY, MN 55125

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 Buatala's NPI number?

The NPI number for Nicole Buatala is 1568985257. It was assigned to this individual provider in the NPPES registry on July 25, 2017. The provider is also known as Nicole Marie Szudy.

Where is Nicole Buatala located?

Nicole Buatala practices at 6063 Hudson Rd Ste 300 Ofc 318, Woodbury, MN 55125. The listed phone number is (651) 217-8044.

What is Nicole Buatala's specialty?

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

Is Nicole Buatala enrolled in Medicare?

Yes. Nicole Buatala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Buatala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Buatala reassigns Medicare benefits to 4 organizations: Danielle Golden, Crna, PA (Vadnais Heights, MN), Fraser Child And Family Center (Minneapolis, MN), Family Innovations, Inc. (Anoka, MN) and Baldwin Area Medical Center, Inc. (Baldwin, WI). 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 Nicole Buatala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Buatala accept?

Health plans from Medica and Security Health Plan list Nicole Buatala 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 Nicole Buatala was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.