KIMBERLY M BUCKLEY (ARNP) – Family Nurse Practitioner, NPI 1265615504

KIMBERLY M BUCKLEY (ARNP) is a healthcare provider. based in Tonganoxie, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 2005009417 (MO). The NPI Number for KIMBERLY M BUCKLEY (ARNP) is 1265615504

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY M BUCKLEY (ARNP)
NPI
1265615504
Phone
(913) 742-4084
Address
21107 DONAHOO RD
Enumeration Date
10 December 2007
Last Update Date
7 April 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6028392000
Graduation Year
2007 (19 years ago)
PAC ID
3173681285
Group Practice PAC ID
5991008054
Professional Enrollment ID
I20191003002874
Address ID
AZ850062612PH1111XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

Provider Addresses for KIMBERLY M BUCKLEY (ARNP)

  • 21107 DONAHOO RD

    TONGANOXIE, KS 660864153

    Phone: (913) 742-4084

    Fax: (913) 742-4086

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $316.

Total Amount is formed as General ($316) + Research ($0) + Ownership ($0) = $316.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($147).

Total Amount

$316

General + Research + Ownership

Payments

11

Total payment records

General Amount

$316

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2019-10-03

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
I20090413000081INurse PractitionerKSTBD
I20191003002874INurse PractitionerAZTBD

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 minutes2929$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2020$0
View full utilization report →

Insurance plans in this area (ZIP 66086)

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Provider's Procedures

KIMBERLY M BUCKLEY (ARNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKS85610Blood test, clotting time18860

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: 5991008054View full group profile
NameSpecialtyState
Orthopedic Surgery, Hand SurgeryAZ
-CO
Pulmonary DiseaseAZ
O B S T E T R I C S/ G Y N E C O L O G YAZ
Cardiac Electrophysiology, Internal MedicineAZ
Orthopedic SurgeryAZ
Pulmonary DiseaseAZ
Gastroenterology, Internal MedicineAZ
Orthopedic SurgerySC
Sleep Medicine, PsychiatryAZ

Reviews

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Frequently asked questions

What identifier follows KIMBERLY M BUCKLEY (ARNP) across health systems?
The NPI 1265615504 uniquely identifies KIMBERLY M BUCKLEY (ARNP) in U.S. healthcare data.
Is KIMBERLY M BUCKLEY (ARNP)'s NPI status active today?
Active status means KIMBERLY M BUCKLEY (ARNP)'s NPI record is not deactivated in the public file.
How should patients interpret KIMBERLY M BUCKLEY (ARNP)'s specialty?
The extract shows Family Nurse Practitioner for KIMBERLY M BUCKLEY (ARNP). Clinical services aligned with this taxonomy classification.
Can patients visit KIMBERLY M BUCKLEY (ARNP) in Tonganoxie, Kansas?
For routing, start with Tonganoxie, Kansas for KIMBERLY M BUCKLEY (ARNP), then verify phone and hours locally.
Can I export KIMBERLY M BUCKLEY (ARNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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