EBONIQUE MARTIN BUCKNER NP-C NPI 1003465352

NPI Information

  • NPI: 1003465352
  • Provider Name: EBONIQUE MARTIN BUCKNER, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 768 AVERY BLVD N
    RIDGELAND, MS
    ZIP 39157
  • Phone: (601) 487-6482

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NPI Details

Ebonique Martin Buckner, NP-C is a family nurse practitioner in Ridgeland, MS with 6 years of experience. Ebonique Martin Buckner, NP-C NPI is 1003465352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

768 AVERY BLVD N
RIDGELAND, MS
ZIP 39157-219
Phone: (601) 487-6482

The NPI 1003465352 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Hemoglobin a1c level (HCPCS:83036)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b (HCPCS:87636)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Blood count, hemoglobin (HCPCS:85018)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Colonoscopy (HCPCS:NAN13)

The enumeration date for this NPI number is 9/10/2019 and was last updated on 5/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily903424MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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