Individual provider Active NPI

Aaron Michael Buczko, NP-C

  • Family Nurse Practitioner
  • Maumee, OH
National Provider Identifier
1750900940
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026143 Issued in OH
Practice address
3550 Briarfield Blvd Ste 300
Maumee, OH 43537-8916
Phone
(419) 452-2140
Fax
(419) 873-6327
NPI assigned
Apr 9, 2020
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 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 APRN.CNP.026143 OH Primary

Addresses

Primary practice location

3550 Briarfield Blvd Ste 300
Maumee, OH 43537-8916

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762
Phone (517) 212-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200721003788 OH Practitioner - Nurse Practitioner 4688098817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Careline Poh100 LLCGroup PAC ID 7012395965, 7 clinicians

Practice addresses (Care Compare)

3550 Briarfield Blvd
Suite 300
Maumee, OH 43537-8916
Phone (419) 452-2140

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.026143OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careline Poh100 LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

3550 Briarfield Blvd
Ste 300
Maumee, OH 43537
Phone (419) 452-2102

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1750900940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-2008",
            "fax_number": "517-212-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 BRIARFIELD BLVD STE 300",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435378916",
            "telephone_number": "419-452-2140",
            "fax_number": "419-873-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCZKO",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.