Benjamin Bucher, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Rolla, ND
NPI 1114282936 · NPPES record last updated Jul 9, 2012
Key facts
- NPI
- 1114282936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R30373 (ND)
- Practice address
- 213 2ND Ave NE
Rolla, ND 58367-7153 - Phone
- (701) 477-3161
- Fax
- (701) 477-5564
- NPI assigned
- Jul 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Owned or controlled facilities with NPI records 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Towner County Medical Center Inc
Practice addresses (Care Compare)
228 1St Ave
Cando, ND 58324-7500
Phone (701) 968-2541
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Towner County Medical Center |
Hospital | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
May 31, 2024 Apr 1, 2015 Apr 1, 2015 |
| Towner County Medical Center Inc |
Hospital | Corporate Officer (100%) | Mar 15, 2015 |
| Towner County Living Center |
Skilled nursing facility | Corporate Officer Operational/Managerial Control |
May 31, 2024 Apr 1, 2015 |
| Towner County Medical Center |
Rural health clinic | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
May 31, 2024 Apr 1, 2015 Apr 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120904000762 | ND | Practitioner - Nurse Practitioner | 7416104088 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R30373 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Towner County Medical Center Inc | Current | Accepting new patients | |
| Presentation Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R30373 | ND | Yes |
Addresses
Primary practice location
213 2ND Ave NE
Rolla, ND 58367-7153
Mailing address
213 2ND Ave NE
PO Box 759
Rolla, ND 58367-7153
Phone (701) 477-3161
Other providers in Rolla, ND
- Stephani G Bertsch
- Renae Ruth Williams Bonner
- Austen Boucher
- Caroline Bruce
- Myles Blake Brunelle
- Lavonne M Charbonneau
- Lilia Marcelina Cid
- Tiffany Marie Clouse
- Commmunity Ambulance Service, Inc
- Carolyn Marie Counts
All providers in Rolla, ND · Family Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.