Susan Marie Buck, MS, APN, CPNP
Individual provider Active NPI Pediatric Registered Nurse · Winfield, IL
NPI 1841436664 · NPPES record last updated Dec 29, 2008
Key facts
- NPI
- 1841436664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- 041283981 (IL)
- Practice address
- 25 N Winfield Rd
Winfield, IL 60190-1222 - Phone
- (630) 933-2942
- Fax
- (630) 933-6685
- NPI assigned
- Dec 29, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
225 E Chicago Ave
Chicago, IL 60611-2991
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041283981 | IL | MD | Pediatric Registered Nurse |
| 209004032 | IL | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 041283981 | IL | Yes |
| Pediatric Nurse Practitioner | 363LP0200X | 209004032 | IL |
Addresses
Primary practice location
25 N Winfield Rd
Winfield, IL 60190-1222
Mailing address
25 N Winfield Rd
Winfield, IL 60190-1222
Phone (630) 933-2942
Other names
- Miss Susan Marie Bertnik
Other providers in Winfield, IL
- Patricia Lynn Brown
- Rebecca Brown
- Bettine Brusca
- Bartosz Antoni Buchcic
- Melissa Anne Buchholz
- Karmen Busse
- Cadence Health
- Anne M. Callanan
- Patricia L Calvin
- Angela Lubke Cambic
All providers in Winfield, IL · Pediatric Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2008. 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.