EMILY BUCKNER – Family Nurse Practitioner, NPI 1144837626

EMILY BUCKNER is a healthcare provider. based in Monroe, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704298504 (MI). The NPI Number for EMILY BUCKNER is 1144837626

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
EMILY BUCKNER
NPI
1144837626
Phone
Not provided
Address
15218 OAK KNOLL DR
Enumeration Date
28 September 2020
Last Update Date
28 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
6154993165
Graduation Year
2020 (6 years ago)
PAC ID
3577964816
Group Practice PAC ID
0345779369
Professional Enrollment ID
I20251126003926
Address ID
MI483751022NO26090RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for EMILY BUCKNER

  • 15218 OAK KNOLL DR

    MONROE, MI 481611082

    Phone:

    Type: Mailing

  • 2142 N COVE BLVD

    TOLEDO, OH 436063895

    Phone: (419) 291-4600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-11-26

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
I20251126003926INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48161)

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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: 0345779369View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What unique ID ties claims to EMILY BUCKNER?
NPI 1144837626 is assigned to EMILY BUCKNER under the national enumeration system.
Does this profile mean EMILY BUCKNER is currently active?
Yes — EMILY BUCKNER appears active in the national provider directory.
What field does EMILY BUCKNER work in?
You can think of EMILY BUCKNER as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place EMILY BUCKNER?
The snapshot lists Monroe, Michigan for EMILY BUCKNER; download NPPES for the complete set.
How can I contact EMILY BUCKNER?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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