MRS. AMY MARIE BUCK (APN) – Family Nurse Practitioner, NPI 1053587402

MRS. AMY MARIE BUCK (APN) is a healthcare provider. based in O fallon, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209005545 (IL). The NPI Number for MRS. AMY MARIE BUCK (APN) is 1053587402

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMY MARIE BUCK (APN)
NPI
1053587402
Phone
(618) 206-2070
Address
670 PIERCE BLVD
Enumeration Date
6 May 2008
Last Update Date
29 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2174232889
Graduation Year
2004 (22 years ago)
PAC ID
4385705334
Group Practice PAC ID
5092857821
Professional Enrollment ID
I20081209000397
Address ID
IL625213848DE1900XDRXX501

Contacts

Secure Messaging
abuck103169@ewd.direct.hshs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. AMY MARIE BUCK (APN)

  • 670 PIERCE BLVD

    O FALLON, IL 622692579

    Phone: (618) 206-2070

    Type: Mailing

  • 1512 N GREEN MOUNT RD

    SUITE 200

    O FALLON, IL 622691953

    Phone: (618) 624-1860

    Fax: (618) 624-1863

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 140 Open Payments records for all available years, with a total value of $2,052.

Total Amount is formed as General ($2,052) + Research ($0) + Ownership ($0) = $2,052.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($524).

Total Amount

$2,052

General + Research + Ownership

Payments

140

Total payment records

General Amount

$2,052

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081209000397INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11267$0
99213Established patient office or other outpatient visit, 20-29 minutes9459$0
36415Insertion of needle into vein for collection of blood sample6143$0
99215Established patient office or other outpatient visit, 40-54 minutes3635$0
96127Assessment of emotional or behavioral problems3317$0
View full utilization report →

Insurance plans in this area (ZIP 62269)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092857821View full group profile
NameSpecialtyState
Internal MedicineIL
-IL
G A S T R O E N T E R O L O G YTX
-IL
General SurgeryIL
-IL
-IL
Certified Nurse Midwife (Cnm)IL
-IL
Gastroenterology, Internal MedicineIL

Reviews

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Frequently asked questions

Can I verify MRS. AMY MARIE BUCK (APN) with an NPI only?
You can start verification with NPI 1053587402 for MRS. AMY MARIE BUCK (APN), then check state licensing separately.
Can I rely on MRS. AMY MARIE BUCK (APN) being an active provider?
As of the registry snapshot, MRS. AMY MARIE BUCK (APN) is marked active.
What healthcare role does MRS. AMY MARIE BUCK (APN) hold?
Scheduling teams often label MRS. AMY MARIE BUCK (APN) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. AMY MARIE BUCK (APN) list a practice location?
Patients near O Fallon, Illinois may find MRS. AMY MARIE BUCK (APN) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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