Active NPI
Tara Lynn Buck, PA-C
- Physician Assistant
- Butte, MT
National Provider Identifier
1326490269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MED-PAC-LIC-89207
- Practice address
- 400 S Clark St
Butte, MT 59701-2328 - Phone
- (303) 914-8800
- NPI assigned
- Jul 4, 2016
- Last updated
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA179347 | OR | |
| Physician Assistant | 363A00000X | MED-PAC-LIC-89207 | MT | Primary |
Addresses
Primary practice location
400 S Clark St
Butte, MT 59701-2328
Mailing address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Other practice location 1
30 13th St
Havre, MT 59501-5222
Phone (406) 262-1419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Loma Linda University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2475 Broadway
Helena, MT 59601-4928
2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 457-4180
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.89 of 100
- Quality
- 75
- Improvement activities
- 40
- Cost
- 88.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PAC-LIC-89207 | MT | MD | Physician Assistant |
| PA179347 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter's Health | Current | Accepting new patients | |
| St. Peter's Health | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients |
Locations
30 13th St
Havre, MT 59501
Phone (406) 262-1302
2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Helena, MT
- NPI 1205025145
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
-
dba Northern Montana Hospital Swing Beds
- Critical Access Hospital
- Havre, MT
- NPI 1578536355
-
dba Northern Montana Hospital Emergency Medicine
- Clinic/Center
- Havre, MT
- NPI 1669447967
-
- Family Medicine Physician
- Townsend, MT
- NPI 1174165682
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Peters Medical Office Building
- Family Medicine Physician
- Helena, MT
- NPI 1083869390
Hospital
-
- General Acute Care Hospital
- Helena, MT
- NPI 1528023520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1326490269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S CLARK ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597012328",
"telephone_number": "303-914-8800"
}
],
"practiceLocations": [
{
"address_1": "30 13th St",
"address_purpose": "LOCATION",
"city": "Havre",
"state": "MT",
"postal_code": "595015222",
"country_code": "US",
"telephone_number": "406-262-1419",
"fax_number": "406-262-1617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCK",
"first_name": "TARA",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-04",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA179347",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "MED-PAC-LIC-89207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.