Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Thomas Bukaweski, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1316449515

Jacob Thomas Bukaweski, AGACNP-BC is a Nurse Practitioner in Gainesville, Florida. Qualified in 2018, 8 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610
Phone: (352) 273-5667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP9385496 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN9385496 (FL)

Record details

NPI number1316449515
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMarch 3, 2018
Last updated in NPPESMay 21, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Gainesville