ROBERT J BUCKINGHAM (RN) – Certified Registered Nurse Anesthetist, NPI 1962728543

ROBERT J BUCKINGHAM (RN) is a healthcare provider. based in Rochester, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. AP60419566 (WA). The NPI Number for ROBERT J BUCKINGHAM (RN) is 1962728543

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT J BUCKINGHAM (RN)
NPI
1962728543
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
8 April 2010
Last Update Date
5 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5095758000
Graduation Year
2010 (16 years ago)
PAC ID
8123157237
Group Practice PAC ID
1557391596
Professional Enrollment ID
I20140604001898
Address ID
WA989023761YA2811XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for ROBERT J BUCKINGHAM (RN)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • 800 E 28th St

    Minneapolis, MN 554073723

    Phone: (612) 863-4000

    Type: Location

  • 200 1st St SW

    Rochester, MN 559050001

    Phone: (507) 284-2511

    Type: Location

  • Owatonna Hospital, 2250, Northwest 26th Street, Owatonna, Steele County, Minnesota, 55060, United States

    OWATONNA, MN 55060

    Phone: (507) 451-3850

    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: 2014-06-04

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
I20140604001898ICertified Registered Nurse Anesthetist (Crna)WATBD

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
01922Anesthesia for x-ray or radiation therapy1616$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 1557391596View full group profile
NameSpecialtyState
Emergency MedicineWA
Internal MedicineNJ
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
-WA
Internal MedicineWA
Emergency MedicineWA
-WA
Family PracticeWA
H E M A T O L O G Y/ O N C O L O G YWI

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Frequently asked questions

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Save NPI 1962728543 if you need a stable reference for ROBERT J BUCKINGHAM (RN).
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An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ROBERT J BUCKINGHAM (RN)?
The page reflects Certified Registered Nurse Anesthetist for ROBERT J BUCKINGHAM (RN). Clinical services aligned with this taxonomy classification.
What location metadata exists for ROBERT J BUCKINGHAM (RN)?
The page summarizes Rochester, Minnesota for ROBERT J BUCKINGHAM (RN); expand the address list for detail.
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