BUC INDEPENDENCE LLC
NPI 1417330150
Clinic/Center - Urgent Care in Independence, KY
About Buc Independence Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BUC INDEPENDENCE LLC (NPI 1417330150) is a healthcare organization registered as an urgent care in Independence, Kentucky and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Robert R So, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Identifiers 10
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Buc Independence Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Buc Independence LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 18D1097867
Buc Independence LLC · Independence, KYFrequently 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 Buc Independence LLC's NPI number?
The NPI number for Buc Independence LLC is 1417330150. It was assigned to this organization in the NPPES registry on June 30, 2015.
Where is Buc Independence LLC located?
Buc Independence LLC is located at 2025 Declaration Dr, Independence, KY 41051. The listed phone number is (859) 371-7900.
What is Buc Independence LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Buc Independence LLC enrolled in Medicare?
Yes. Buc Independence LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Buc Independence LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 6 Medicare specialties reassign their Medicare billing to Buc Independence LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4), General Practice (3) and Emergency Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Buc Independence LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D1097867) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Buc Independence LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Buc Independence LLC 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 Buc Independence LLC was last updated on October 4, 2024. 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.
# Buc Independence Llc · NPI 1417330150
Urgent Care organization in Independence, Kentucky. Organization record, active in the CMS NPPES registry since June 30, 2015.
## Identity
- **NPI:** 1417330150 (Entity type: Organization)
- **Enumerated:** June 30, 2015
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Robert So, OWNER
## Practice location
- **Address:** 2025 DECLARATION DR, Independence, KY 41051-7983
- **Phone:** (859) 371-7900 · **Fax:** (859) 371-0489
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), General Practice (3), Emergency Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2024
- **Other identifiers:** Medicaid 2274177 (OH); Medicaid 7100180440 (KY); Medicaid 0152735 (OH); and 7 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417330150) · Data from the CMS NPPES public registry.