Vicki I Buth, CNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

R1133961 Issued in MN

Practice address

6545 France Ave S
Ste 540
Edina, MN 55435

Phone

(952) 927-4045

Fax

(952) 924-4133

NPI assigned

Feb 21, 2006

Last updated

Mar 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southdale Physicians LLCGroup PAC ID 6204109051, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.79 of 100Reported as group

Quality

95.08

Improvement activities

40

Cost

81.67

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southdale Physicians, LLC

  • Internal Medicine Physician
  • Edina, MN
  • NPI 1124569249
  Medicare reassignment Care Compare group NPD
• Obstetrics and Gynecology Associates, P.a.

  dba Obstetrics and Gynecology Specialists and Associates In Women's Health

  • Obstetrics & Gynecology Physician
  • Edina, MN
  • NPI 1871576116
  Medicare reassignment NPD
• Infinite Health Collaborative, PA

  • Orthopaedic Surgery Physician
  • Bloomington, MN
  • NPI 1164474250
  NPD
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Hudson, WI
  • NPI 1568840916
  NPD
• Diamond Women's Center, P.a.

  • Obstetrics & Gynecology Physician
  • Edina, MN
  • NPI 1790873412
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1013982180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "STE 540",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-927-4045",
            "fax_number": "952-924-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "STE 540",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-927-4045",
            "fax_number": "952-924-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTH",
        "first_name": "VICKI",
        "middle_name": "I",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MN",
            "license": "R1133961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083462900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MINNESOTA",
            "identifier": "39D22BU",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS OF MN",
            "identifier": "HP48195",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Michelle Busker, PHARM.D.
• Daniel D Buss, M.D.
• Stephen Buss, R.PH.
• Britney Dael Foster Busse, PA-C
• Michelle A Bussmann, MD
• Carina L Butler, M.D.
• Stephen Michael Butts, J.D./PH.D.
• Katie Byron, MA, LPCC
• Cabot Psychological Services, PLLC
• Taylor Cain, RDN

• Obstetrics & Gynecology Nurse Practitioner in Edina, MN
• Providers in Edina, MN by specialty
• Obstetrics & Gynecology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.