Individual provider Active NPI

Alicia Roberta Bueche, FNP-BC

  • Family Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1821591991
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008073A Issued in IN
Practice address
405 E Dubail Ave
South Bend, IN 46613-2434
Phone
(800) 342-5653
NPI assigned
Mar 14, 2018
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28207642A IN
Family Nurse Practitioner 363LF0000X 71008073A IN Primary

Addresses

Primary practice location

405 E Dubail Ave
South Bend, IN 46613-2434

Mailing address

405 E Dubail Ave
South Bend, IN 46613-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190611001319 IN Practitioner - Nurse Practitioner 1456684265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refresh F5 IncGroup PAC ID 9032622436, 3 clinicians

Practice addresses (Care Compare)

201 S William St
South Bend, IN 46601-2515
Phone (574) 234-2870

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28207642AINMDFamily Nurse Practitioner
71008073AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC CurrentSince Jul 1, 2019 Accepting new patients
La Porte Clinic Company LLC CurrentSince Jul 1, 2019 Accepting new patients
Health Plus Indiana CurrentSince Jun 2, 2025 Accepting new patients
Bowen Health Inc PastSince Jul 14, 2026 Accepting new patients

Locations

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

8988 E US Highway 20
New Carlisle, IN 46552
Phone (574) 654-3002

201 S William St
South Bend, IN 46601
Phone (574) 234-2870

Interoperability endpoints

  • Direct secure messaging: alicia.bueche.1@29671.direct.athenahealth.com

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

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1821591991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E DUBAIL AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466132434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E DUBAIL AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466132434",
            "telephone_number": "800-342-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUECHE",
        "first_name": "ALICIA",
        "middle_name": "ROBERTA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28207642A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008073A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.