MRS. SHELLY RAE BUCH (FNP) – Family Nurse Practitioner, NPI 1114106184

MRS. SHELLY RAE BUCH (FNP) is a healthcare provider. based in Iron mountain, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1084 (AK). The NPI Number for MRS. SHELLY RAE BUCH (FNP) is 1114106184

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHELLY RAE BUCH (FNP)
NPI
1114106184
Phone
(906) 774-1313
Address
PO BOX 549
Enumeration Date
26 October 2007
Last Update Date
18 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7154784300
Graduation Year
2007 (19 years ago)
PAC ID
6800940016
Group Practice PAC ID
3375454689
Professional Enrollment ID
I20111119000112
Address ID
WI545208631CR8201XDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:18State licenses:3Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MRS. SHELLY RAE BUCH (FNP)

  • PO BOX 549

    IRON MOUNTAIN, MI 498010549

    Phone: (906) 774-1313

    Type: Mailing

  • 1721 S Stephenson Ave

    Iron Mountain, MI 498013637

    Phone: (906) 776-5679

    Type: Location

  • Florence Medical Center, 1010, Olive Avenue, Florence, Town of Florence, Florence County, Wisconsin, 54121, United States

    FLORENCE, WI 541210380

    Phone: (715) 528-4775

    Fax: (715) 528-5592

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20111119000112INurse PractitionerWITBD
I20120327000479INurse PractitionerMITBD

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 minutes3319$0
36415Insertion of needle into vein for collection of blood sample2114$0
99213Established patient office or other outpatient visit, 20-29 minutes2017$0
80053Blood test, comprehensive group of blood chemicals1211$0
View full utilization report →

Insurance plans in this area (ZIP 49801)

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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: 3375454689View full group profile
NameSpecialtyState
C H I R O P R A C T I CWI
Nurse PractitionerWI
O P T O M E T R YWI
-WI
Nurse PractitionerWI
-WI
O P T O M E T R YNM
Physical Therapist In Private PracticeWI
Nurse PractitionerWI
Clinical PsychologistWI

Reviews

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Frequently asked questions

How do payers reference MRS. SHELLY RAE BUCH (FNP)?
For MRS. SHELLY RAE BUCH (FNP), use NPI 1114106184 as the unique 10-digit identifier.
Is MRS. SHELLY RAE BUCH (FNP) shown as active in public data?
Registry records indicate MRS. SHELLY RAE BUCH (FNP) maintains an active NPI.
What expertise is attributed to MRS. SHELLY RAE BUCH (FNP)?
MRS. SHELLY RAE BUCH (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. SHELLY RAE BUCH (FNP) associated with Iron Mountain?
Public fields place MRS. SHELLY RAE BUCH (FNP) around Iron Mountain, Michigan. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.