Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryellen Buck, FNP

Individual provider Family Nurse Practitioner · NPI 1124377155

Maryellen Buck, FNP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2016, 10 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

5908 E Stop 11 RD
Indianapolis, IN 46237
Phone: (317) 497-6800
Fax: (317) 497-6801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 119 W 7th St, Bloomington, IN 47404-3926 — (821) 323-4480
  • 3455 Mann Rd, Indianapolis, IN 46221-2337 — (317) 487-0722
  • 5545 E Stop 11 Rd, Indianapolis, IN 46237-8616 — (317) 497-6800
  • 5545 E Stop 11 Rd, Indianapolis, IN 46237-8616 — (317) 497-6800

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71004119A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71004119B (IN)

Record details

NPI number1124377155
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 6, 2012
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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