Active NPI
Karen Buck, NP
- Nurse Practitioner
- Pigeon, MI
National Provider Identifier
1063422236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704108416
- Practice address
- 168 N Caseville Rd
Pigeon, MI 48755-9704 - Phone
- (989) 453-2141
- Fax
- (989) 453-4450
- NPI assigned
- Aug 9, 2006
- Last updated
- Nov 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704108416 | MI | Primary |
Addresses
Primary practice location
168 N Caseville Rd
Pigeon, MI 48755-9704
Mailing address
168 N Caseville Rd
Pigeon, MI 48755-9704
Phone (989) 453-5210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4326950 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704184616 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scheurer Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Scheurer Primary Care - Sebewaing
- Rural Health Clinic/Center
- Sebewaing, MI
- NPI 1053957738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1063422236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 N CASEVILLE RD",
"city": "PIGEON",
"state": "MI",
"postal_code": "487559704",
"telephone_number": "989-453-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 N CASEVILLE RD",
"city": "PIGEON",
"state": "MI",
"postal_code": "487559704",
"telephone_number": "989-453-2141",
"fax_number": "989-453-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "KAREN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704108416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4326950",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pigeon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.