Stephanie F. Buckmier, NP-C
Individual provider Active NPI Nurse Practitioner · Rugby, ND
NPI 1790779197 · NPPES record last updated Mar 14, 2025
Key facts
- NPI
- 1790779197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R28617 (ND)
- Practice address
- 2975 Highway 2 E
Rugby, ND 58368-7801 - Phone
- (701) 776-5455
- Fax
- (701) 776-7023
- NPI assigned
- Aug 31, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Good Samaritan Hospital Association
Practice addresses (Care Compare)
2975 Hwy 2 E
Rugby, ND 58368-7801
Phone (701) 776-5261
301 Roosevelt Ave
Maddock, ND 58348-7138
Phone (701) 438-2555
Hospital & facility affiliations
- Heart of America Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050927000142 | ND | Practitioner - Nurse Practitioner | 1759315906 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R28617 | ND | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Association | Current |
Accepting new patients | |
| Good Samaritan Hospital Association | Current |
Accepting new patients | |
| Good Samaritan Hospital Association | Past | Accepting new patients | |
| Spirit Lake Health Center | Past | Accepting new patients | |
| Good Samaritan Hospital Association | Past | Accepting new patients | |
| Good Samaritan Hospital Association | Past | Accepting new patients | |
| Spirit Lake Tribe | Past | Accepting new patients | |
| Clinic Pharmacy Inc | Past | Accepting new patients |
Locations
2975 Highway 2 E
Rugby, ND 58368
Phone (701) 776-5235
800 S Main Ave
Rugby, ND 58368
Phone (701) 776-5261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R28617 | ND | Yes |
Addresses
Primary practice location
2975 Highway 2 E
Rugby, ND 58368-7801
Mailing address
301 Roosevelt Ave
Maddock, ND 58348-7138
Phone (701) 438-2555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1459062 | Medicaid | ND |
Other names
- Stephanie F. Tweten
Other providers in Rugby, ND
- Jenna Leigh Brossart
- Jennifer H Brossart
- Katie Brossart
- Rachel Lynn Bruner
- Petra M Buch
- Bobbie M Burchinal
- Dianne M Burkhart
- Kali Carlson
- Amy Jo Casavant
- Clearpath Behavioral Health LLC
All providers in Rugby, ND · Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.