Individual provider Active NPI

Tricia Yvonne Buckalew, FNP-C

  • Family Nurse Practitioner
  • Grafton, ND
National Provider Identifier
1487464251
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201702 Issued in ND
Practice address
164 W 13TH St
Grafton, ND 58237-1826
Phone
(701) 352-2000
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 201702 ND Primary

Addresses

Primary practice location

164 W 13TH St
Grafton, ND 58237-1826

Mailing address

164 W 13TH St
Grafton, ND 58237-1826
Phone (701) 352-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20250219003950 ND Practitioner - Nurse Practitioner 5597863605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christian Unity Hospital CorporationGroup PAC ID 8123925401, shared by 4 NPIs, 25 clinicians

Practice addresses (Care Compare)

164 W 13TH St
Grafton, ND 58237-1826
Phone (701) 352-1620

Hospital & facility affiliations

  • Unity Medical Center Hospital, Grafton, ND, CCN 351320
  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201702NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Unity Hospital Corporation CurrentSince Jan 13, 2025 Accepting new patients
Christian Unity Hospital Corporation CurrentSince Dec 1, 2025 Accepting new patients
Christian Unity Hospital Corporation CurrentSince Jan 13, 2025 Accepting new patients
Christian Unity Hospital Corporation Past Accepting new patients

Locations

164 W 13th St
Grafton, ND 58237
Phone (701) 352-1620

503 Park St W
Ste B
Park River, ND 58270
Phone (701) 284-6663

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1487464251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W 13TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371826",
            "telephone_number": "701-352-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W 13TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371826",
            "telephone_number": "701-352-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKALEW",
        "first_name": "TRICIA",
        "middle_name": "YVONNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "201702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, ND

Sources for this page

Verify at the official NPI Registry.