NICOLE MARIE BUZARD (PA-C) – Physician Assistant, NPI 1194249706

NICOLE MARIE BUZARD (PA-C) is a healthcare provider. based in Fleming island, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9110819 (FL). The NPI Number for NICOLE MARIE BUZARD (PA-C) is 1194249706

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARIE BUZARD (PA-C)
NPI
1194249706
Phone
(904) 385-2023
Address
2349 Village Square Pkwy Ste 110-111
Enumeration Date
26 July 2017
Last Update Date
26 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3863285711
Graduation Year
2017 (9 years ago)
PAC ID
2567719362
Group Practice PAC ID
7012201965
Professional Enrollment ID
I20180725002187
Address ID
FL321773810PA611XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,304 PHYSICIAN ASSISTANT in FL

Provider Addresses for NICOLE MARIE BUZARD (PA-C)

  • 2349 Village Square Pkwy Ste 110-111

    Fleming Island, FL 320036355

    Phone: (904) 385-2023

    Fax: (904) 385-2454

    Type: Location

  • 11945 SAN JOSE BLVD STE 300

    JACKSONVILLE, FL 322231627

    Phone: (904) 396-1725

    Fax: (904) 396-4893

    Type: Mailing

  • 23343 NW COUNTY ROAD 236

    HIGH SPRINGS, FL 326439669

    Phone: (386) 454-0698

    Type: Mailing

  • 1001, Prudential Drive, Jacksonville, Duval County, Florida, 32207, United States

    JACKSONVILLE, FL 322078337

    Phone: (904) 398-0033

    Fax: (904) 398-6774

    Type: Location

  • 2233 PARK AVENUE

    STE 403 AND 405

    ORANGE PARK, FL 32073

    Phone: (904) 688-3000

    Fax: (904) 688-3001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $245.

Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: ABBVIE INC. ($127).

Total Amount

$245

General + Research + Ownership

Payments

12

Total payment records

General Amount

$245

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

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: 2018-07-25

PECOS data refreshed: 2026-06-15

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
I20180725002187IPhysician AssistantFLTBD

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 32003)

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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: 7012201965View full group profile
NameSpecialtyState
-FL
-OH
Internal MedicineFL
Internal MedicineFL
Family Practice, Emergency Medicine, HospitalistFL
Nurse PractitionerFL
Family PracticeFL
Family PracticePA
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is NICOLE MARIE BUZARD (PA-C)'s NPI number?
NICOLE MARIE BUZARD (PA-C)'s NPI is 1194249706 — the number used across U.S. healthcare to identify this provider.
Would NICOLE MARIE BUZARD (PA-C) appear as active to a payer?
You can treat NICOLE MARIE BUZARD (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to NICOLE MARIE BUZARD (PA-C)?
NICOLE MARIE BUZARD (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is NICOLE MARIE BUZARD (PA-C) registered?
Use Fleming Island, Florida as the headline location for NICOLE MARIE BUZARD (PA-C) here.
Does NICOLE MARIE BUZARD (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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