DR. MONICA SHALISE' BUCKNER M.D.
NPI 1093102758
Family Medicine in Chicago, IL

Q: What is Monica Buckner's NPI number?

The NPI number for Monica Buckner is 1093102758. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Q: What is Monica Buckner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Monica Buckner was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 21, 2015PECOS Enrolled

3473 S. MARTIN LUTHER KING DRIVE, #494, CHICAGO, IL 60616(773) 358-8295 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2019, Aug 21, 2018 (2 updates tracked since 2018).

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About Dr. Monica Shalise' Buckner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MONICA SHALISE' BUCKNER M.D. (NPI 1093102758) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036146924) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1093102758

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MONICA SHALISE' BUCKNERCredential: M.D.

Location Address3473 S. MARTIN LUTHER KING DRIVE, #494Chicago, IL 60616-4108

Mailing Address5124 S Indiana Ave Unit 3sChicago, IL 60615-3428 · (615) 491-1419

Phone(773) 358-8295

Sole ProprietorYes

Enumeration DateApril 21, 2015

Last NPPES UpdateMarch 28, 20222 updates tracked since enumeration

NPPES CertifiedMarch 28, 2022

✔ NPI 1093102758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036146924

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 036146924 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3473 S. MARTIN LUTHER KING DRIVE, Chicago, IL 60616

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Secondary Practice Location 1

Location 12160 S 1st AveMaywood, IL 60153 · Phone (312) 864-0663

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Monica Shalise' Buckner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monica Buckner's NPI number?

The NPI number for Monica Buckner is 1093102758. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Monica Buckner located?

Monica Buckner practices at 3473 S. Martin Luther King Drive #494, Chicago, IL 60616. The listed phone number is (773) 358-8295.

What is Monica Buckner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monica Buckner enrolled in Medicare?

Yes. Monica Buckner is registered in the Medicare PECOS enrollment system.

What insurance does Monica Buckner accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Monica Buckner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monica Buckner was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.