1. Home
  2. Directory
  3. Pennsylvania
  4. Wilkes Barre
  5. Dietitian Registered
  6. NPI Profile

AUTUM BUGDA
NPI 1891676466
Dietitian, Registered - Nutrition, Obesity and Weight Management in Wilkes Barre, PA

Active since September 10, 2025
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-7803(570) 808-3230 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Autum Bugda NPPES

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

AUTUM BUGDA (NPI 1891676466) is an individual nutrition, obesity and weight management provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (DN009251) and active in the NPI registry since September 2025. She is a graduate of Pennsylvania State University College Of Medicine (2024).

NPPES Registry Identity

NPI1891676466
Entity TypeIndividualFemale
Primary Taxonomy133VN1201X
Provider Legal NameAUTUM BUGDA
Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0027
Mailing Address1000 E Mountain DrWilkes Barre, PA 18711-0001 · (570) 808-7803 · Fax (570) 808-3230
Phone(570) 808-7803
Fax(570) 808-3230
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 2024
Enumeration DateSeptember 10, 2025
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1891676466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers
Taxonomy Code133VN1201X
License✔ Licensed in PA · DN009251
Definition
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6204323728
PECOS Enrollment IDI20251016004028

Medicare Billing Reassignment

Medicare enrollment records show Autum Bugda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Geisinger Clinic
0.3 mi
Optometrist
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1366492902 (570) 826-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. KEVIN P BURKHARDT
Audiologist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7923
EVA VAISHNAV DO
Internal Medicine (Cardiovascular Disease)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-6020
DR. WALTER MIECZKOWSKI III
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
SARAH EILEEN HELWIG CRNP
Nurse Practitioner
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-2338
STACY KANDRAC
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7701
VANESSA ANNE MARKLE PHARMACIST
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7754
JACOB SHAJI
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7754
JEFFERSON WATERS
Student in an Organized Health Care Education/Training Program
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300

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 Autum Bugda's NPI number?

The NPI number for Autum Bugda is 1891676466. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Autum Bugda located?

Autum Bugda practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7803.

What is Autum Bugda's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

Is Autum Bugda enrolled in Medicare?

Yes. Autum Bugda is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Autum Bugda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autum Bugda reassigns Medicare benefits to Geisinger Clinic (Wilkes Barre, PA). 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 Autum Bugda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autum Bugda accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Autum Bugda 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 Autum Bugda was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.