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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Nicole Buatala was last updated on February 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 25, 2017PECOS EnrolledAccepts Medicare Assignment

2103 COUNTY ROAD D E STE B, MAPLEWOOD, MN 55109(651) 748-5019(651) 383-4529 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2025, Dec 17, 2021, Jan 5, 2020 and 1 more (4 updates tracked since 2017).

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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 Maplewood, Minnesota, licensed in Minnesota (5299) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS 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 Address2103 COUNTY ROAD D E STE BMaplewood, MN 55109-5358

Mailing Address2103 County Road D E Ste BMaplewood, MN 55109-5358 · (651) 748-5019 · Fax (651) 383-4529

Phone(651) 748-5019

Fax(651) 383-4529

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 25, 2017

Last NPPES UpdateFebruary 10, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2025

✔ 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)

2103 COUNTY ROAD D E STE B, Maplewood, MN 55109

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Other Names 1

Former Name (1)Nicole Marie Szudy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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.

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Other Providers at the Same Location NPPES 19

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

CYNTHIA BURGESS

Counselor (Mental Health)