Individual provider Active NPI

Jill Renee Buck, APRN-CNP

  • Family Nurse Practitioner
  • Valley View, TX
National Provider Identifier
1871214742
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1020929 Issued in TX
Practice address
909 N Frontage Rd
Valley View, TX 76272-9227
Phone
(940) 726-5750
NPI assigned
Sep 8, 2022
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 1020929 TX Primary

Addresses

Primary practice location

909 N Frontage Rd
Valley View, TX 76272-9227

Mailing address

810 N Tejas Dr # a
Sanger, TX 76266-4011
Phone (940) 902-3910

Other identifiers 1

IdentifierTypeStateIssuer
0OtherN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240201004443 TX Practitioner - Nurse Practitioner 1658724984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Family Medical Clinic PLLCGroup PAC ID 8527340496, 4 clinicians

Practice addresses (Care Compare)

909 N Frontage Rd
Valley View, TX 76272-9227
Phone (940) 726-5750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Family Medical Clinic, PLLC Family CurrentSince Jan 1, 2024 Accepting new patients

Locations

909 N Frontage Rd
Valley View, TX 76272
Phone (940) 726-5750

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.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1871214742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N TEJAS DR # A",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762664011",
            "telephone_number": "940-902-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N FRONTAGE RD",
            "city": "VALLEY VIEW",
            "state": "TX",
            "postal_code": "762729227",
            "telephone_number": "940-726-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "JILL",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley View, TX

Sources for this page

Verify at the official NPI Registry.