Individual provider Active NPI

Casey Lynn Buncher, FNP-C

  • Family Nurse Practitioner
  • Union, MO
National Provider Identifier
1891336178
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019018815 Issued in MO
Practice address
1935 Prairie Dell Rd Ste 400
Union, MO 63084-4327
Phone
(636) 649-3085
Fax
(636) 649-3086
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 2019018815 MO Primary

Addresses

Primary practice location

1935 Prairie Dell Rd Ste 400
Union, MO 63084-4327

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (636) 649-3085

Other practice location 1

901 E 5th St
Washington, MO 63090-3127
Phone (573) 578-3003

Other practice location 2

901 Patients First Dr
Washington, MO 63090-4700
Phone (636) 231-6245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20191118001941 MO Practitioner - Nurse Practitioner 3678905312 Reassigns benefits to 2 organizations

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
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

1935 Prairie Dell Rd
Suite 400
Union, MO 63084-4327
Phone (636) 583-2508

Hospital & facility affiliations

  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Pulmonology Washington LLC CurrentSince Nov 3, 2019 Accepting new patients
Mercy Clinic East Communities CurrentSince Jun 11, 2023 Accepting new patients
Mercy Clinic East Communities Family Current Accepting new patients
Mercy Clinic East Communities CurrentSince Jun 11, 2023 Accepting new patients

Locations

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

901 Patients First Dr
Ste 3400
Washington, MO 63090
Phone (636) 231-6245

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Interoperability endpoints

  • Direct secure messaging: cbuncher765158@directc.mercy.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1891336178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "636-649-3085",
            "fax_number": "636-649-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 PRAIRIE DELL RD STE 400",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630844327",
            "telephone_number": "636-649-3085",
            "fax_number": "636-649-3086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630903127",
            "country_code": "US",
            "telephone_number": "573-578-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Patients First Dr",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630904700",
            "country_code": "US",
            "telephone_number": "636-231-6245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNCHER",
        "first_name": "CASEY",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019018815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, MO

Sources for this page

Verify at the official NPI Registry.