Elissa Buck, CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

176175-30 Issued in WI

Practice address

4459 N Newhall St
Shorewood, WI 53211-1526

Phone

(414) 333-0611

NPI assigned

Sep 8, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1174403281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4459 N NEWHALL ST",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4459 N NEWHALL ST",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111526",
            "telephone_number": "414-333-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "ELISSA",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "WI",
            "license": "176175-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary J Brill, LCSW
• Sarah Elizabeth Brill, LCSW
• Edwin S Brookes, DMD
• Karyn L Brzezinski, DDS
• Jonathan J. Buchler, MSW, LCSW
• Carlie Buckley, L. AC
• Shelley Renee Budney-Weber, RPH
• Evelyn E Burdick, M.D.
• Amy Byers, NP
• C.Y. Smith & Associates, Inc

• Clinical Nurse Specialist in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Clinical Nurse Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.