SHELLEY RAE BUCK MS, LPC
NPI 1528299237
Counselor - Professional in Springfield, MO

Active since July 29, 2009PECOS Enrolled
904 S CAMPBELL AVE, SPRINGFIELD, MO 65806(417) 761-6410 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2019, Jun 20, 2018 (2 updates tracked since 2018).

About Shelley Rae Buck Ms, Lpc NPPES

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

SHELLEY RAE BUCK MS, LPC (NPI 1528299237) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2003023383) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1528299237
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHELLEY RAE BUCKCredential: MS, LPC
Location Address904 S CAMPBELL AVESpringfield, MO 65806-3182
Mailing Address1300 E Bradford PkwySpringfield, MO 65804-4264 · (417) 761-5000 · Fax (417) 761-5011
Sole ProprietorNo
Enumeration DateJuly 29, 2009
Last NPPES UpdateMarch 21, 20192 updates tracked since enumeration
✔ NPI 1528299237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2003023383
904 S CAMPBELL AVE, Springfield, MO 65806

Other Names 1

Former Name (1)Shelley Rae Haney

Secondary Practice Location 1

Location 11300 E Bradford PkwySpringfield, MO 65804-4264 · Phone (417) 761-5000 · Fax (417) 761-5011

Other Identifiers 1

Medicaid495526501MO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelley Rae Buck Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

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

Community/Behavioral Health
1300 E BRADFORD PKWY
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 590 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.

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
904 S CAMPBELL AVE
SPRINGFIELD, MO 65806
Nurse Practitioner (Psychiatric/Mental Health)
904 S CAMPBELL AVE
SPRINGFIELD, MO 65806

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 Shelley Buck's NPI number?

The NPI number for Shelley Buck is 1528299237. It was assigned to this individual provider in the NPPES registry on July 29, 2009. The provider is also known as Shelley Rae Haney.

Where is Shelley Buck located?

Shelley Buck practices at 904 S Campbell Ave, Springfield, MO 65806. The listed phone number is (417) 761-6410.

What is Shelley Buck's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shelley Buck enrolled in Medicare?

Yes. Shelley Buck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelley Buck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Buck reassigns Medicare benefits to Burrell, Inc. (Springfield, MO). 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 Shelley Buck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelley Buck accept?

Health plans from Cox HealthPlans and Medica list Shelley Buck 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 Shelley Buck was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.