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ALICIA BUCHANAN-JONES WHNP-BC
NPI 1932945227
Nurse Practitioner - Women's Health in Hammond, IN

Active since July 05, 2024PECOS Enrolled
1828 165TH ST, HAMMOND, IN 46320(219) 763-8112 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2024, Jul 5, 2024 (2 updates tracked since 2024).

About Alicia Buchanan-jones Whnp-bc NPPES

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

ALICIA BUCHANAN-JONES WHNP-BC (NPI 1932945227) is an individual women's health provider in Hammond, Indiana, licensed in Indiana (71015470A) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932945227
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameALICIA BUCHANAN-JONESCredential: WHNP-BC
Location Address1828 165TH STHammond, IN 46320-2823
Mailing Address1828 165th StHammond, IN 46320-2823 · (219) 763-8112
Phone(219) 763-8112
Sole ProprietorNo
Enumeration DateJuly 5, 2024
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1932945227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in IN · 71015470A
1828 165TH ST, Hammond, IN 46320
Open in Google Maps ↗

Other Names 1

Former Name (1)Alicia Buchanan

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Buchanan-jones Whnp-bc 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 46320 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 4

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

SHEENA WILKINS FNP
Nurse Practitioner (Family)
1828 165TH ST
HAMMOND, IN 46320
Lake County (219) 763-8112
SOYONG LEE M.D.
Family Medicine
1828 165TH ST
HAMMOND, IN 46320
Lake County (219) 763-8112
BILLIE EDEN BRENNER MD
Obstetrics & Gynecology
1828 165TH ST
HAMMOND, IN 46320
Lake County (219) 600-5208
ALLISON ANN GRZEBIEN CNM
Advanced Practice Midwife
1828 165TH ST
HAMMOND, IN 46320
Lake County (219) 763-8112

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 Alicia Buchanan-jones's NPI number?

The NPI number for Alicia Buchanan-jones is 1932945227. It was assigned to this individual provider in the NPPES registry on July 5, 2024. The provider is also known as Alicia Buchanan.

Where is Alicia Buchanan-jones located?

Alicia Buchanan-jones practices at 1828 165th St, Hammond, IN 46320. The listed phone number is (219) 763-8112.

What is Alicia Buchanan-jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Alicia Buchanan-jones enrolled in Medicare?

Yes. Alicia Buchanan-jones is registered in the Medicare PECOS enrollment system.

What insurance does Alicia Buchanan-jones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Alicia Buchanan-jones 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 Alicia Buchanan-jones was last updated on July 25, 2024. 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.