Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. John Elwin Buckwalter, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1063512184

Mr. John Elwin Buckwalter, FNP-BC is a Nurse Practitioner in Maricopa, Arizona. Qualified in 1994, 32 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
32
Licensed in
AZ
In the registry since
2006
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

17900 N Porter Rd
Maricopa, AZ 85138-4228
Phone: (520) 233-2500
Fax: (520) 233-2688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP7376 (AZ)

Record details

NPI number1063512184
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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