Shane Buck

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

93119 Issued in NE

Practice address

3901 Normal Blvd
Lincoln, NE 68506-5261

Phone

(402) 435-1122

Fax

(402) 435-4854

NPI assigned

Feb 10, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Wedgewood Legacy Medical P.C.

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1053347187
  NPD (past)

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1144035973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 GREENWOOD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685042136",
            "telephone_number": "308-340-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065261",
            "telephone_number": "402-435-1122",
            "fax_number": "402-435-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NE",
            "license": "93119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Buchholz
• Sonya Buchholz
• Michelle Renee Buchta, APRN
• Janet Sue Buck, MS, RD, LMNT
• Julie Buck, ATC
• Melissa Buckbee, RN
• Dara Joan Buckendahl, RN, BSN
• Deborah Sue Buckley
• John F Buckley, M.D.
• Kay-Lee Buckley

• Home Health Registered Nurse in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Home Health Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.