Jonathan Park Buckwalter, FNP-C
NPI 1427569110ActiveIndividual· Nurse Practitioner, Family· Prescott Valley, AZ
Nurse Practitioner, Family (FNP-C) in Prescott Valley, Arizona, licensed in AZ, with an NPI issued in October 2017. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1427569110 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Oct 20, 2017 |
| Last updated in NPPES | Jul 30, 2020 |
| Certified by provider | Jul 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP10723 | AZ |
| Registered Nurse | 163W00000X | RN174745 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AZ) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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