Individual provider Active NPI

Andrew J Buck, CRNP

  • Family Nurse Practitioner
  • Pennsburg, PA
National Provider Identifier
1861740268
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012111 Issued in PA
Practice address
101 W 7TH St
Suite 2C
Pennsburg, PA 18073-1512
Phone
(215) 679-9321
Fax
(215) 679-2386
NPI assigned
Aug 16, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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 SP012111 PA Primary

Addresses

Primary practice location

101 W 7TH St
Suite 2C
Pennsburg, PA 18073-1512

Mailing address

101 W 7TH St
Suite 2C
Pennsburg, PA 18073-1512
Phone (215) 679-9321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120824000698 PA Practitioner - Nurse Practitioner 3577710615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Trivalley Primary Care PCGroup PAC ID 4981680923, 57 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

777 Route 113
Souderton, PA 18964-1000
Phone (215) 723-3280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Trivalley Primary Care, PC CurrentSince Aug 22, 2012 Accepting new patients

Locations

101 W 7th St
Ste 2C
Pennsburg, PA 18073
Phone (215) 679-9321

420 Pottstown Ave
Pennsburg, PA 18073
Phone (215) 679-9321

519 S 5th St
Ste 130
Perkasie, PA 18944
Phone (215) 257-8601

777 Route 113
Ofc
Souderton, PA 18964
Phone (215) 723-3280

Interoperability endpoints

  • Direct secure messaging: andrew.buck@tvpc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA

Organizations & group practices 1

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 3

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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1861740268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 7TH ST",
            "address_2": "SUITE 2C",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731512",
            "telephone_number": "215-679-9321",
            "fax_number": "215-679-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 7TH ST",
            "address_2": "SUITE 2C",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731512",
            "telephone_number": "215-679-9321",
            "fax_number": "215-679-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsburg, PA

Sources for this page

Verify at the official NPI Registry.