Individual provider Active NPI

Jennifer Lynn Buck, FNP

  • Family Nurse Practitioner
  • Jamestown, NY
National Provider Identifier
1225594369
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343939 Issued in NY
Practice address
103 Allen St
Jamestown, NY 14701-6968
Phone
(716) 338-0022
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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 343939 NY Primary

Addresses

Primary practice location

103 Allen St
Jamestown, NY 14701-6968

Mailing address

95 E Chautauqua St
Mayville, NY 14757-1017
Phone (716) 753-7107

Other practice location 1

42 Dunham Ave
Jamestown, NY 14701-2514
Phone (716) 665-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190326001922 NY Practitioner - Nurse Practitioner 3577803766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Medical Services PLLCGroup PAC ID 9133221666, 17 clinicians

Practice addresses (Care Compare)

103 Allen St
Jamestown, NY 14701-6968
Phone (716) 338-0022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Medical Services PLLC CurrentSince Mar 12, 2019 Accepting new patients
Catholic Charities of Buffalo Past Accepting new patients

Locations

3780 Eagle St
Fredonia, NY 14063
Phone (716) 672-3030

31 Sherman St
Ste 2200
Jamestown, NY 14701
Phone (716) 338-9797

715 Falconer St
Jamestown, NY 14701
Phone (716) 487-0141

31 Sherman St
Ste 2500
Jamestown, NY 14701
Phone (716) 338-9797

42 Dunham Ave
Jamestown, NY 14701
Phone (716) 484-9188

103 Allen St
Jamestown, NY 14701
Phone (716) 338-0022

95 E Chautauqua St
Mayville, NY 14757
Phone (716) 753-7107

216 E Main St
Westfield, NY 14787
Phone (716) 326-3240

Interoperability endpoints

  • Direct secure messaging: jennifer.l.buck@upmcdirect.com
  • Direct secure messaging: jbuck@fhms.medentdirect.com
  • Direct secure messaging: jbuck48636@upmc.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1225594369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 E CHAUTAUQUA ST",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147571017",
            "telephone_number": "716-753-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ALLEN ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016968",
            "telephone_number": "716-338-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Dunham Ave",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147012514",
            "country_code": "US",
            "telephone_number": "716-665-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.