BENJAMIN BUCKNER DC
NPI 1356141568
Chiropractor in Appleton, WI

Active since March 17, 2025Accepts Medicare Assignment
3420 N ASSOCIATION DR, APPLETON, WI 54914(920) 931-2532 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Benjamin Buckner Dc NPPES

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

BENJAMIN BUCKNER DC (NPI 1356141568) is an individual chiropractor in Appleton, Wisconsin, licensed in Wisconsin (6294-12) and active in the NPI registry since March 2025. He is a graduate of Palmer College Chiropractic - Davenport (2025).

NPPES Registry Identity

NPI1356141568
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBENJAMIN BUCKNERCredential: DC
Location Address3420 N ASSOCIATION DRAppleton, WI 54914-1479
Mailing Address3420 N Association DrAppleton, WI 54914-1479
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2025
Enumeration DateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
✔ NPI 1356141568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 6294-12
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3420 N ASSOCIATION DR, Appleton, WI 54914

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Buckner Dc 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 ID5890217558
PECOS Enrollment IDI20250321003116

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Buckner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
N14889 KAISER RD
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Benjamin Buckner's NPI number?

The NPI number for Benjamin Buckner is 1356141568. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Where is Benjamin Buckner located?

Benjamin Buckner practices at 3420 N Association Dr, Appleton, WI 54914. The listed phone number is (920) 931-2532.

What is Benjamin Buckner's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Benjamin Buckner enrolled in Medicare?

Yes. Benjamin Buckner 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.

Which organization bills Medicare for Benjamin Buckner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Buckner reassigns Medicare benefits to Valley Spine And Sport, LLC (Park Falls, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Buckner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Buckner accept?

Health plans from CareSource (Common Ground Healthcare) and Medica list Benjamin 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 Benjamin Buckner was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.