Individual provider Active NPI

Benjamin Bucher, FNP-BC

  • Family Nurse Practitioner
  • Rolla, ND
National Provider Identifier
1114282936
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R30373 Issued in ND
Practice address
213 2ND Ave NE
Rolla, ND 58367-7153
Phone
(701) 477-3161
Fax
(701) 477-5564
NPI assigned
Jul 9, 2012
Last updated
Jul 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R30373 ND Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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

Enrollment IDStateProvider typePAC IDDetails
I20120904000762 ND Practitioner - Nurse Practitioner 7416104088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Towner County Medical Center IncGroup PAC ID 6800798497, 12 clinicians

Practice addresses (Care Compare)

228 1St Ave
Cando, ND 58324-7500
Phone (701) 968-2541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R30373NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Towner County Medical Center Inc Current Accepting new patients
Presentation Medical Center Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Towner County Medical CenterCando, ND, CCN 351331 Hospital Corporate Officer
W-2 Managing Employee
Operational/Managerial Control
May 31, 2024
Apr 1, 2015
Apr 1, 2015
Towner County Medical Center IncCando, ND, CCN 35Z331 Hospital Corporate Officer (100%) Mar 15, 2015
Towner County Living CenterCando, ND, CCN 355068 Skilled nursing facility Corporate Officer
Operational/Managerial Control
May 31, 2024
Apr 1, 2015
Towner County Medical CenterCando, ND, CCN 353404 Rural health clinic Corporate Officer
W-2 Managing Employee
Operational/Managerial Control
May 31, 2024
Apr 1, 2015
Apr 1, 2015

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1114282936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 2ND AVE NE",
            "address_2": "PO BOX 759",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583677153",
            "telephone_number": "701-477-3161",
            "fax_number": "701-477-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 2ND AVE NE",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583677153",
            "telephone_number": "701-477-3161",
            "fax_number": "701-477-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHER",
        "first_name": "BENJAMIN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R30373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, ND

Sources for this page

Verify at the official NPI Registry.