Holly Marie Buckler, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Huntington, IN
NPI 1801673256 · NPPES record last updated Dec 5, 2023
Key facts
- NPI
- 1801673256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71014312A (IN)
- Practice address
- 2860 Northpark Ave
Huntington, IN 46750-9700 - Phone
- (574) 385-3141
- Fax
- (260) 356-6241
- NPI assigned
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20240220002335 | IN | Practitioner - Nurse Practitioner | 6608210455 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowen Health Inc | Current |
Accepting new patients | |
| Bowen Health Inc | Current | Accepting new patients | |
| Bowen Health, Inc. | Past | Accepting new patients |
Locations
2860 Northpark Ave
Huntington, IN 46750
Phone (260) 356-2875
850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169
2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71014312A | IN | Yes |
Addresses
Primary practice location
2860 Northpark Ave
Huntington, IN 46750-9700
Mailing address
2860 Northpark Ave
Huntington, IN 46750-9700
Phone (574) 385-3141
Other providers in Huntington, IN
- Boys & Girls Club of Huntington County, Inc
- Bradley Bibb MD PLLC
- Shannon Elise Brisbin
- Laura M Brooks
- Terra L Brunson-Doll
- C. Bryan Wait, M.D., Internal Medicine, P.C.
- Patricia Campbell
- Richard Capone II
- Cardinal Family Medicine
- Kimberly Case
All providers in Huntington, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.