DIANA BUDNIK
NPI 1891381133
Nurse Practitioner in Jacksonville, FL

Q: What is Diana Budnik's NPI number?

The NPI number for Diana Budnik is 1891381133. It was assigned to this individual provider in the NPPES registry on December 20, 2020.

Q: What is Diana Budnik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Diana Budnik was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 20, 2020PECOS Enrolled

3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 702-6111 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2021, Dec 20, 2020 (2 updates tracked since 2020).

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About Diana Budnik NPPES

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

DIANA BUDNIK (NPI 1891381133) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (11012166) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891381133

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDIANA BUDNIK

Location Address3625 UNIVERSITY BLVD SJacksonville, FL 32216-4207

Mailing Address601 1st St S Apt 2hJacksonville Beach, FL 32250-6657 · (904) 477-7076

Phone(904) 702-6111

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 20, 2020

Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration

NPPES CertifiedMarch 17, 2021

✔ NPI 1891381133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · 11012166

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 9452553 (FL)

3625 UNIVERSITY BLVD S, Jacksonville, FL 32216

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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)

Diana Budnik is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648658658

PECOS Enrollment IDI20251028001278

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 Diana Budnik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Black Bag Medical Inc

2.8 mi

Family Medicine

4320 DEERWOOD LAKE PKWY, SUITE 101, PMB 321
Jacksonville, FL 32216

Reassigned Medicare billing, Florida enrollment
16 clinicians in this Medicare group

NPI 1750440988 (904) 371-4051

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 32216 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

LINDSAY MICHELLE PUTKOWSKI CRNA

Nurse Anesthetist, Certified Registered

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6111

KENNETH AUNG-DIN MD

Emergency Medicine

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 399-6811

MRS. GLORIANNE BOYD RD,LD/N

Dietitian, Registered

3625 UNIVERSITY BLVD S, BARIATRIC DEPARTMENT
JACKSONVILLE, FL 32216

Duval County (904) 399-6313

PETER LOUIS KOVACS MD

Anesthesiology

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 421-2119

NAKISH DANIELLE GRANT M.D.

General Practice

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6111

SUMMIT EMERGENCY PHYSICIANS, LLC

Emergency Medicine

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (469) 401-2386

KELLY MICHELLE DEWIT PHARMD

Pharmacist

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6160

DR. JUDY BOWERS M.D.

Obstetrics & Gynecology

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6850

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 Diana Budnik's NPI number?

The NPI number for Diana Budnik is 1891381133. It was assigned to this individual provider in the NPPES registry on December 20, 2020.

Where is Diana Budnik located?

Diana Budnik practices at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 702-6111.

What is Diana Budnik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Diana Budnik enrolled in Medicare?

Yes. Diana Budnik is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diana Budnik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Budnik reassigns Medicare benefits to Black Bag Medical Inc (Jacksonville, FL). The 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 Diana Budnik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diana Budnik was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.