DR. SHELBY RAE BUCHOLZ MD
NPI 1124645064
Family Medicine in Perham, MN

Active since June 26, 2020PECOS EnrolledAccepts Medicare Assignment
1000 CONEY ST W, PERHAM, MN 56573(218) 347-1200 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Jun 26, 2020 (2 updates tracked since 2020).

About Dr. Shelby Rae Bucholz Md NPPES

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

DR. SHELBY RAE BUCHOLZ MD (NPI 1124645064) is an individual family medicine provider in Perham, Minnesota, licensed in Minnesota (31364) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Perham Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124645064
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHELBY RAE BUCHOLZCredential: MD
Location Address1000 CONEY ST WPerham, MN 56573-2102
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 26, 2020
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1124645064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MN · 31364 Licensed in ND · NDRL16577
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.
1000 CONEY ST W, Perham, MN 56573

Other Names 1

Former Name (1)Shelby Rae Hollinger

Accepted 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

Dr. Shelby Rae Bucholz Md 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 ID3072974898
PECOS Enrollment IDI20230726002654
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.

Hospital Affiliations CMS Care Compare 2

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

Perham Health

Critical Access Hospitals · Perham, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241373
Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56573 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 20

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

Family Medicine
1000 CONEY ST W
PERHAM, MN 56573
Surgery
1000 CONEY ST W
PERHAM, MN 56573
Physician Assistant
1000 CONEY ST W
PERHAM, MN 56573
Family Medicine
1000 CONEY ST W
PERHAM, MN 56573
Family Medicine
1000 CONEY ST W
PERHAM, MN 56573
Family Medicine
1000 CONEY ST W
PERHAM, MN 56573
Physical Therapist
1000 CONEY ST W
PERHAM, MN 56573
Family Medicine
1000 CONEY ST W
PERHAM, MN 56573

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 Shelby Bucholz's NPI number?

The NPI number for Shelby Bucholz is 1124645064. It was assigned to this individual provider in the NPPES registry on June 26, 2020. The provider is also known as Shelby Rae Hollinger.

Where is Shelby Bucholz located?

Shelby Bucholz practices at 1000 Coney St W, Perham, MN 56573. The listed phone number is (218) 347-1200.

What is Shelby Bucholz's specialty?

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

Is Shelby Bucholz enrolled in Medicare?

Yes. Shelby Bucholz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelby Bucholz accept?

Health plans from Medica and Sanford Health Plan list Shelby Bucholz 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.

Is Shelby Bucholz affiliated with any hospitals?

According to CMS data, Shelby Bucholz is affiliated with Perham Health and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Shelby Bucholz was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.