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

Ronnie Dean Buckingham

Individual provider Family Nurse Practitioner · NPI 1609726504

Ronnie Dean Buckingham is a Nurse Practitioner in Potosi, Missouri. Qualified in 2025, 1 year ago. Practices with Great Mines Health Center, an 18-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2026

Practice location Address checks out

1 Southtowne Dr
Potosi, MO 63664-5729
Phone: (573) 438-9355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2003017636 (MO)

Record details

NPI number1609726504
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2026
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Great Mines Health Center — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Potosi