Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Buckner, PA

Individual provider Medical Physician Assistant · NPI 1154741742

Amanda Buckner, PA is a Physician Assistant in Rochester, New York. Qualified in 2013, 13 years ago. Practices with University Urology Associates, a 64-clinician group and accepts Medicare assignment. Licensed in Maryland, New York and Ohio.

Years since qualifying
13
Licensed in
MD, NY, OH
In the registry since
2014
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

158 Sawgrass Dr Fl 2
Rochester, NY 14620-4648
Phone: (585) 275-2838
Fax: (585) 756-5457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 019177 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C0005391 (MD)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 004019 (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 19177 (NY)

Record details

NPI number1154741742
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 22, 2014
Last updated in NPPESJune 29, 2023
Certification dateMarch 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice University Urology Associates — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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