MONICA BUCHE NP
NPI 1285686329
Nurse Practitioner in Muncie, IN
NPI Status: Active since May 17, 2006
Contact Information
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
Phone: (765) 288-1995
Fax: (765) 289-7512
- Individual
- Female
- Nurse Practitioner
- Accepts Insurance
- PECOS Enrolled
About MONICA BUCHE
This page provides the complete NPI Profile along with additional information for Monica Buche, a provider established in Muncie, Indiana with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1285686329 assigned on May 2006. The practitioner's primary taxonomy code is 363L00000X with license number 71000205A (IN). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1285686329
- Provider Name
- MONICA BUCHE NP
- Other Name
- MONICA GENDRON
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 205 N TILLOTSON AVE MUNCIE, IN 47304
- Location Phone
- (765) 288-1995
- Location Fax
- (765) 289-7512
- Mailing Address
- 240 N TILLOTSON AVE MUNCIE, IN 47304
- Mailing Phone
- (765) 288-1928
- Mailing Fax
- (765) 289-7512
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-17-2006
- Last Update Date
- 12-26-2019
- Code Navigator
A nurse practitioner (NP) like Monica Buche is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 71000205A
- License State
- IN
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71000205A | OTHER (01) | IN | NURSE PRACTITIONER LICENS |
| 200295740I | MEDICAID (05) | IN | |
| 000000665424 | OTHER (01) | IN | ANTHEM BC |
Medicare Participation & PECOS Enrollment Status
Monica Buche is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 47304 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.04
- Minimum New Patient Price $53.07
- Maximum New Patient Price $161.76
- Average New Patient Copayment $20.51
- Minimum New Patient Copayment $13.26
- Maximum New Patient Copayment $40.44
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.22
- Minimum Established Patient Price $16.93
- Maximum Established Patient Price $132.22
- Average Established Patient Copayment $23.55
- Minimum Established Patient Copayment $4.23
- Maximum Established Patient Copayment $33.05
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 8 | 6 | 3 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 8 | 12 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 8 + 1 + 2 + 3 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1285686329 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JAMES R BYRN MD
Pediatrics
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
BARBARA P HUSS MD
Pediatrics
205 N TILLOTSON AVE
SUITE 201
MUNCIE, IN
ZIP 47304
CRAIG A HUGHES MD
Pediatrics
205 N TILLOTSON AVE
SUITE 201
MUNCIE, IN
ZIP 47304
CARDINAL HEALTH PARTNERS, LLC
Pediatrics
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
CARDINAL HEALTH PARTNERS, LLC
Pediatrics
205 N TILLOTSON AVE
SUITE 201B
MUNCIE, IN
ZIP 47304
CARDINAL HEALTH PARTNERS
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
JULIE A JARVIS SLP
Speech-Language Pathologist
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
DEBORAH M HUNLEY PT
Physical Therapist
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
MARIE K ZOLLER SLP
Speech-Language Pathologist
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
MICHELE HECK OT
Occupational Therapist
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
KRISTI M DUGAN OT
Occupational Therapist
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
ALLYSON K MCGLAUGHLIN OT
Occupational Therapist
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
KATHERINE A ATKINSON OT
Occupational Therapist
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
ALEXANDRA RUFATTO SLP
Speech-Language Pathologist
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
MICHAEL R BURT MD
Pediatrics
205 N TILLOTSON AVE
SUITE
MUNCIE, IN
ZIP 47304
INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.
Pediatrics
(Developmental - Behavioral Pediatrics)
205 N TILLOTSON AVE
SUITE 102
MUNCIE, IN
ZIP 47304
INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.
Pediatrics
205 N TILLOTSON AVE
SUITE 201B
MUNCIE, IN
ZIP 47304
INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.
Pediatrics
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
MS. ANGELA REBECCA LENGERICH MS, CCC-SLP
Speech-Language Pathologist
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
KRISTIN LAWSON CPNP
Nurse Practitioner
(Pediatrics)
205 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285686329, enumerated as an "individual" on May 17, 2006.
The provider is located at 205 N TILLOTSON AVE MUNCIE, IN 47304 and the phone number is (765) 288-1995.
Nurse Practitioner with taxonomy code 363L00000X.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
