Individual provider Active NPI

Corey Allen Buck, NP

  • Family Nurse Practitioner
  • Columbus, IN
National Provider Identifier
1881364552
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011570A Issued in IN
Practice address
1655 N Gladstone Ave Ste E
Columbus, IN 47201-5380
Phone
(812) 669-3687
Fax
(812) 669-4835
NPI assigned
Sep 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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 71011570A IN Primary

Addresses

Primary practice location

1655 N Gladstone Ave Ste E
Columbus, IN 47201-5380

Mailing address

1655 N Gladstone Ave Ste E
Columbus, IN 47201-5380
Phone (812) 669-3687

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
I20211025001471 IN Practitioner - Nurse Practitioner 3870981871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Indiana ENT LLC 10 clinicians

Practice addresses (Care Compare)

1655 N Gladstone Ave
Suite E
Columbus, IN 47201-5380
Phone (812) 376-3071

Hospital & facility affiliations

  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
  • Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001
  • Decatur County Memorial Hospital Hospital, Greensburg, IN, CCN 151332
  • Schneck Medical Center Hospital, Seymour, IN, CCN 150065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana ENT, LLC CurrentSince Oct 1, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1655 N Gladstone Ave
Ste E
Columbus, IN 47201
Phone (812) 376-3071

1159 W Jefferson St
Ste 202
Franklin, IN 46131
Phone (317) 346-3858

701 E County Line Rd
Ste 209
Greenwood, IN 46143
Phone (317) 215-0177

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12832/brand/1/csg/1/fhir/r4
  • Direct secure messaging: corey.buck.1@12832.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1881364552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N GLADSTONE AVE STE E",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015380",
            "telephone_number": "812-669-3687",
            "fax_number": "812-669-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N GLADSTONE AVE STE E",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015380",
            "telephone_number": "812-669-3687",
            "fax_number": "812-669-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "COREY",
        "middle_name": "ALLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011570A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.