JORDAN D BUCKLEY (NP-C) – Nurse Practitioner, NPI 1245724574

JORDAN D BUCKLEY (NP-C) is a healthcare provider. based in Springfield, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 2018021090 (MO). The NPI Number for JORDAN D BUCKLEY (NP-C) is 1245724574

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN D BUCKLEY (NP-C)
NPI
1245724574
Phone
(417) 886-5000
Address
1911 S NATIONAL AVE STE 301
Enumeration Date
20 June 2018
Last Update Date
20 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178865000
Graduation Year
2018 (8 years ago)
PAC ID
3971850249
Group Practice PAC ID
6901905553
Professional Enrollment ID
I20180717003801
Address ID
MO658042213SP1911XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for JORDAN D BUCKLEY (NP-C)

  • South National Avenue, Delaware, Springfield, Greene County, Missouri, 65897, United States

    SPRINGFIELD, MO 658042213

    Phone: (417) 886-5000

    Fax: (417) 886-1100

    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 12 Open Payments records for all available years, with a total value of $345.

Total Amount is formed as General ($345) + Research ($0) + Ownership ($0) = $345.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($132).

Total Amount

$345

General + Research + Ownership

Payments

12

Total payment records

General Amount

$345

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2018-07-17

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
I20180717003801INurse PractitionerMOTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11670$0
90935Hemodialysis procedure with physician evaluation10666$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8953$0
99214Established patient office or other outpatient visit, 30-39 minutes7060$0
View full utilization report →

Insurance plans in this area (ZIP 65804)

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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: 6901905553View full group profile
NameSpecialtyState
N E P H R O L O G YMO
Nurse PractitionerMO
N E P H R O L O G YMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nephrology, Internal MedicineMO
Nephrology, Internal MedicineUT
Nephrology, Internal MedicineMO

Reviews

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Frequently asked questions

What federal number belongs to JORDAN D BUCKLEY (NP-C)?
The federal identifier for JORDAN D BUCKLEY (NP-C) is NPI 1245724574.
Is JORDAN D BUCKLEY (NP-C) currently active in the NPI registry?
CMS-published data lists JORDAN D BUCKLEY (NP-C) as an active registrant.
What does JORDAN D BUCKLEY (NP-C) treat or focus on?
Patients typically see JORDAN D BUCKLEY (NP-C) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JORDAN D BUCKLEY (NP-C)?
We surface Springfield, Missouri for JORDAN D BUCKLEY (NP-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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