MICHELLE A. BUCKLEY (NP) – Nurse Practitioner, NPI 1083040372
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MICHELLE A. BUCKLEY (NP)
408 INLET RD
RUSKIN, FL 335704901
Phone: (815) 546-3683
Type: Mailing
1 TAMPA GENERAL CIR
TAMPA, FL 336063571
Phone: (815) 546-3683
Type: Location
4 E JACKSON BLVD
SAVANNAH, GA 314055895
Phone: (912) 355-1010
Fax: (912) 351-0589
Type: Location
706 CENTRAL BLVD
GUYTON, GA 313124329
Phone: (912) 355-1010
Fax: (912) 351-0589
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $147.
Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.
Last reported payment date: 2023-11-21 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($97).
Total Amount
$147
General + Research + Ownership
Payments
3
Total payment records
General Amount
$147
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $97 |
| Smith+Nephew, Inc. | $50 |
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: 2015-02-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140129001148 | I | Nurse Practitioner | SC | TBD |
| I20150226001547 | I | Nurse Practitioner | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33570)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| N E U R O S U R G E R Y | GA | |
| Physician Assistant | SC | |
| Physician Assistant | GA | |
| N E U R O S U R G E R Y | GA | |
| Nurse Practitioner | GA | |
| N E U R O S U R G E R Y | GA | |
| N E U R O S U R G E R Y | SC | |
| Physician Assistant | VA | |
| N E U R O S U R G E R Y | GA |
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