Susan J. Buck, FNP
Individual provider Active NPI Physician Assistant · Wabasha, MN
NPI 1295705192 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1295705192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- R074323-1 (MN)
- Practice address
- 1202 5TH Grant Blvd
Wabasha, MN 55981-1042 - Phone
- (651) 565-4571
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2177 | WI | MD | Clinic/Center |
| R074323-1 | MN | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | R074323-1 | MN | Yes |
Addresses
Primary practice location
1202 5TH Grant Blvd
Wabasha, MN 55981-1042
Mailing address
1202 5TH Grant Blvd
Wabasha, MN 55981-1042
Phone (651) 565-4571
Other providers in Wabasha, MN
- Laurie Lynn Bell
- Mark Wayne Bingham
- Grace Bouquet Boyle
- Amanda Lynne Brees
- Remington James Brisbois
- Brianna Byam
- Andrew Christensen
- City of Wabasha
- Cosan Leighis LLC
- County of Wabasha
All providers in Wabasha, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.