MRS. KELLY M BUCKLEY (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1669941738

MRS. KELLY M BUCKLEY (NP) is a healthcare provider. based in Pittsfield, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN270478 (MA). The NPI Number for MRS. KELLY M BUCKLEY (NP) is 1669941738

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY M BUCKLEY (NP)
NPI
1669941738
Phone
Not provided
Address
25 COPLEY TER
Enumeration Date
19 November 2018
Last Update Date
10 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4135842178
Graduation Year
2020 (6 years ago)
PAC ID
9234545526
Group Practice PAC ID
2567359839
Professional Enrollment ID
I20210311001361
Address ID
MA010604267NO22XXXDRXX307
Telehealth
Yes

Contacts

Secure Messaging
kdepietro@howland-assoc.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

8,972 NURSE PRACTITIONER in MA

Provider Addresses for MRS. KELLY M BUCKLEY (NP)

  • 25 COPLEY TER

    PITTSFIELD, MA 012016434

    Phone:

    Type: Mailing

  • 22 ATWOOD DR

    NORTHAMPTON, MA 010604267

    Phone: (413) 584-4547

    Type: Location

  • 132 MASS MOCA WAY

    NORTH ADAMS, MA 012472446

    Phone: (413) 664-4600

    Fax: (413) 664-4660

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210311001361INurse PractitionerMATBD

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
99443Telephone medical discussion with physician, 21-30 minutes7323$0
90792Psychiatric diagnostic evaluation with medical services3737$0
View full utilization report →

Insurance plans in this area (ZIP 01201)

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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: 2567359839View full group profile
NameSpecialtyState
Physician AssistantMA
-MA
Physician AssistantMA
-MA
Physician AssistantMA
Family PracticeMA
Family PracticeMA
Certified Nurse Midwife (Cnm)MA
Nurse PractitionerMA
Family PracticeMA

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. KELLY M BUCKLEY (NP)'s NPI?
Yes. MRS. KELLY M BUCKLEY (NP) is listed with NPI 1669941738 in the public NPI dataset.
Is MRS. KELLY M BUCKLEY (NP) still practicing?
MRS. KELLY M BUCKLEY (NP) is currently listed as active in the public NPI registry.
What is MRS. KELLY M BUCKLEY (NP) best known for clinically?
Directory data describes MRS. KELLY M BUCKLEY (NP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MRS. KELLY M BUCKLEY (NP) serve?
MRS. KELLY M BUCKLEY (NP)'s listing highlights Pittsfield, Massachusetts; more addresses can appear in NPPES.
Is the information about MRS. KELLY M BUCKLEY (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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