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DR. NICOLE JUDITH BUDDENBAUM MD
NPI 1619771060
Student in an Organized Health Care Education/Training Program in Tucson, AZ

Active since April 03, 2025PECOS Enrolled
1501 N CAMPBELL AVE DEPT OF, TUCSON, AZ 85724(520) 626-9540 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicole Judith Buddenbaum Md NPPES

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

DR. NICOLE JUDITH BUDDENBAUM MD (NPI 1619771060) is an individual student in an organized health care education/training program in Tucson, Arizona and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619771060
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. NICOLE JUDITH BUDDENBAUMCredential: MD
Location Address1501 N CAMPBELL AVE DEPT OFTucson, AZ 85724-0001
Mailing Address1501 N Campbell Ave Dept OfTucson, AZ 85724-0001 · (520) 626-9540
Phone(520) 626-9540
Sole ProprietorNo
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1619771060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1501 N CAMPBELL AVE DEPT OF, Tucson, AZ 85724
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Judith Buddenbaum Md 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.

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 Buddenbaum's NPI number?

The NPI number for Nicole Buddenbaum is 1619771060. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Nicole Buddenbaum located?

Nicole Buddenbaum practices at 1501 N Campbell Ave Dept Of, Tucson, AZ 85724. The listed phone number is (520) 626-9540.

What is Nicole Buddenbaum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Buddenbaum enrolled in Medicare?

Yes. Nicole Buddenbaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Buddenbaum was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.