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MARLENA ANN BUITRAGO MSN, APRN, FNP-BC
NPI 1942923271
Nurse Practitioner - Family in Seminole, FL

Active since September 21, 2022PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
10011 SEMINOLE BLVD, SEMINOLE, FL 33772(727) 393-2800 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marlena Ann Buitrago Msn, Aprn, Fnp-bc NPPES

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

MARLENA ANN BUITRAGO MSN, APRN, FNP-BC (NPI 1942923271) is an individual family provider in Seminole, Florida, licensed in Florida (APRN11021916) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942923271
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARLENA ANN BUITRAGOCredential: MSN, APRN, FNP-BC
Location Address10011 SEMINOLE BLVDSeminole, FL 33772-2539
Mailing Address2545 Ne Coachman Rd Apt 75Clearwater, FL 33765-1807 · (908) 399-6819
Phone(727) 393-2800
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
✔ NPI 1942923271 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 FL · APRN11021916
10011 SEMINOLE BLVD, Seminole, FL 33772
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marlena Ann Buitrago Msn, Aprn, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274909932
PECOS Enrollment IDI20221020001514
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
42 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services26 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
22 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33772 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Other Providers at the Same Location NPPES 10

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

A PLACE FOR WOMEN PA
Obstetrics & Gynecology
10011 SEMINOLE BLVD
SEMINOLE, FL 33772
Pinellas County (727) 393-2800
SAVANNA LENTZ APRN
Nurse Practitioner (Family)
10011 SEMINOLE BLVD
SEMINOLE, FL 33772
Pinellas County (727) 393-2800
MARIZA MUSHEZA APRN
Nurse Practitioner (Family)
10011 SEMINOLE BLVD
SEMINOLE, FL 33772
Pinellas County (727) 393-2800
DR. PAULA MARCELA VARGAS DO
Obstetrics & Gynecology
10011 SEMINOLE BLVD
SEMINOLE, FL 33772
Pinellas County (727) 393-2800
DR. DELIA DELGADO M.D.
Obstetrics & Gynecology (Gynecology)
10011 SEMINOLE BLVD
SEMINOLE, FL 33772
Pinellas County (727) 393-2800
FLORIDA WOMAN CARE LLC
Obstetrics & Gynecology
10011 SEMINOLE BLVD, SUITE A
SEMINOLE, FL 33772
Pinellas County (727) 393-2800
CARMEN R DAMIANI DO PA
Obstetrics & Gynecology
10011 SEMINOLE BLVD, SUITE A
SEMINOLE, FL 33772
Pinellas County (727) 397-8888
DR. DEBRA FERGUSON HEMSATH M.D.
Obstetrics & Gynecology (Gynecology)
10011 SEMINOLE BLVD
SEMINOLE, FL 33772
Pinellas County (727) 393-2800

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 Marlena Buitrago's NPI number?

The NPI number for Marlena Buitrago is 1942923271. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Marlena Buitrago located?

Marlena Buitrago practices at 10011 Seminole Blvd, Seminole, FL 33772. The listed phone number is (727) 393-2800.

What is Marlena Buitrago's specialty?

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

Is Marlena Buitrago enrolled in Medicare?

Yes. Marlena Buitrago is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marlena Buitrago accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and UnitedHealthcare list Marlena Buitrago 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.

Is Marlena Buitrago affiliated with any hospitals?

According to CMS data, Marlena Buitrago is affiliated with St Anthonys Hospital and Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Marlena Buitrago was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.