MRS. KATHLEEN N BUGAYONG (FNP-BC) – Family Nurse Practitioner, NPI 1114435278

MRS. KATHLEEN N BUGAYONG (FNP-BC) is a healthcare provider. based in Crawfordville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. ARNP9350358 (FL). The NPI Number for MRS. KATHLEEN N BUGAYONG (FNP-BC) is 1114435278

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHLEEN N BUGAYONG (FNP-BC)
NPI
1114435278
Phone
(352) 212-2650
Address
1322 SHADEVILLE RD
Enumeration Date
11 January 2018
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504310911
Graduation Year
2017 (9 years ago)
PAC ID
1456615087
Group Practice PAC ID
8325317084
Professional Enrollment ID
I20180508001798
Address ID
FL323085054TA1300XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for MRS. KATHLEEN N BUGAYONG (FNP-BC)

  • 1322, Shadeville Road, Shadeville, Crawfordville, Wakulla County, Florida, 32327, United States

    CRAWFORDVILLE, FL 323272593

    Phone: (352) 212-2650

    Type: Mailing

  • Tallahassee Memorial HealthCare, 1300, Miccosukee Road, Tallahassee, Leon County, Florida, 32308, United States

    TALLAHASSEE, FL 323085054

    Phone: (850) 431-1155

    Type: Location

  • 1401 Centerville Rd Ste G02

    Tallahassee, FL 323084638

    Phone: (850) 878-8714

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-02-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180508001798INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32327)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325317084View full group profile
NameSpecialtyState
Emergency MedicineCO
Emergency MedicineFL
Nurse PractitionerFL
-FL
Emergency MedicineFL
Nurse PractitionerFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineGA
Emergency MedicineGA

Reviews

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Frequently asked questions

How do I look up MRS. KATHLEEN N BUGAYONG (FNP-BC) by NPI?
Use NPI 1114435278 when you need to reference MRS. KATHLEEN N BUGAYONG (FNP-BC) in forms, claims, or directories.
Is MRS. KATHLEEN N BUGAYONG (FNP-BC) active in the national directory?
MRS. KATHLEEN N BUGAYONG (FNP-BC)'s public NPI profile is in an active state.
Does MRS. KATHLEEN N BUGAYONG (FNP-BC) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MRS. KATHLEEN N BUGAYONG (FNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. KATHLEEN N BUGAYONG (FNP-BC)?
The page summarizes Crawfordville, Florida for MRS. KATHLEEN N BUGAYONG (FNP-BC); expand the address list for detail.
What if Crawfordville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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