MITZI BUCKMAN FNP-C
NPI 1629581947
Nurse Practitioner - Family in Gonzales, LA

Q: What is Mitzi Buckman's NPI number?

The NPI number for Mitzi Buckman is 1629581947. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Q: What is Mitzi Buckman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mitzi Buckman was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since November 08, 2017PECOS Enrolled

1125 W HIGHWAY 30, GONZALES, LA 70737(337) 534-0952 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2023, Nov 8, 2017 (2 updates tracked since 2017).

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About Mitzi Buckman Fnp-c NPPES

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

MITZI BUCKMAN FNP-C (NPI 1629581947) is an individual family provider in Gonzales, Louisiana, licensed in Louisiana (230063) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hannibal.

NPPES Registry Identity

NPI1629581947

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMITZI BUCKMANCredential: FNP-C

Location Address1125 W HIGHWAY 30Gonzales, LA 70737-5004

Mailing Address1125 W Highway 30Gonzales, LA 70737-5004 · (337) 534-0952

Phone(337) 534-0952

Sole ProprietorNo

Enumeration DateNovember 8, 2017

Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2023

✔ NPI 1629581947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in LA · 230063

1125 W HIGHWAY 30, Gonzales, LA 70737

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Secondary Practice Location 1

Location 1100 Medical DrHannibal, MO 63401-6877 · Phone (573) 221-5250

Other Identifiers 1

Other2017008672Missouri Nursing License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitzi Buckman 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70737 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 16

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

OUR LADY OF THE LAKE ASCENSION COMMUNITY HOSPITAL, INC.

General Acute Care Hospital