MARYELLEN BUCK FNP
NPI 1124377155
Nurse Practitioner - Family in Indianapolis, IN

Q: What is Maryellen Buck's NPI number?

The NPI number for Maryellen Buck is 1124377155. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Q: What is Maryellen Buck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Maryellen Buck was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 06, 2012PECOS EnrolledAccepts Medicare Assignment

5908 E STOP 11 RD, INDIANAPOLIS, IN 46237(317) 497-6800(317) 497-6801 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2020, Nov 19, 2018, Nov 6, 2018 and 2 more (5 updates tracked since 2018).

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About Maryellen Buck Fnp NPPES

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

MARYELLEN BUCK FNP (NPI 1124377155) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71004119A) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Community Hospital South, Inc., and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124377155

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARYELLEN BUCKCredential: FNP

Location Address5908 E STOP 11 RDIndianapolis, IN 46237

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-7547

Phone(317) 497-6800

Fax(317) 497-6801

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 6, 2012

Last NPPES UpdateNovember 27, 20235 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2020

✔ NPI 1124377155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IN · 71004119A✔ Licensed in IN · 71004119B

5908 E STOP 11 RD, Indianapolis, IN 46237

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1119 W 7th StBloomington, IN 47404-3926 · Phone (821) 323-4480

Location 23455 Mann RdIndianapolis, IN 46221-2337 · Phone (317) 487-0722

Location 35545 E Stop 11 RdIndianapolis, IN 46237-8616 · Phone (317) 497-6800 · Fax (317) 497-6801

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maryellen Buck Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537449806

PECOS Enrollment IDI20170605000509

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

88 services64 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

16 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150128

Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County

Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150162

Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers14 claims14 services$16.14 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSANDRA MARIE DAET DO

Internal Medicine