Nicole Szudy Buatala, RN, MSN, FNP, PMHNP in Bloomington, MN

Nicole Szudy Buatala, RN, MSN, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bloomington, Minnesota. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baldwin Area Medical Center Inc, Baldwin Area Medical Center Inc and her current practice location is 1801 American Blvd E, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 253-1111.

Nicole Szudy Buatala is licensed to practice in Minnesota (license number 5299) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568985257.

Contact Information

	Nicole Szudy Buatala, RN, MSN, FNP, PMHNP
	1801 American Blvd E, Bloomington, MN 55425-1232
	(612) 253-1111
	(952) 767-0782

Map and Direction

Provider's Profile

Full Name	Nicole Szudy Buatala
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1801 American Blvd E, Bloomington, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Szudy Buatala graduated from nursing school in 2019

NPI Data:

NPI Number: 1568985257
Provider Enumeration Date: 07/25/2017
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 2860758851
Enrollment ID: I20171107003224

Medical Identifiers

Medical identifiers for Nicole Szudy Buatala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568985257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5299 (Minnesota)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9918 (Wisconsin)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5299 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Western Wisconsin Health	Baldwin, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baldwin Area Medical Center Inc	7911800586	66
Baldwin Area Medical Center Inc	7911800586	66

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Szudy Buatala allows following entities to bill medicare on her behalf.

Entity Name	Fraser Child And Family Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Szudy Buatala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Szudy Buatala, RN, MSN, FNP, PMHNP 9331 Cambridge Rd, Woodbury, MN 55125-9036 Ph: (218) 851-5610	Nicole Szudy Buatala, RN, MSN, FNP, PMHNP 1801 American Blvd E, Bloomington, MN 55425-1232 Ph: (612) 253-1111

Reviews and Comments

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Kimberly C Bourassa, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 952-767-2267
Gillian Glass Schoenbauer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 Xerxes Ave S, Bloomington, MN 55431 Phone: 952-888-2024
Ashley Gilland, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5320 Hyland Greens Dr, Bloomington, MN 55437 Phone: 952-993-2400

Nicole Szudy Buatala, RN, MSN, FNP, PMHNP - Medicare Nurse Practitioner in Bloomington, MN