MS. KELLY JEAN BUCKLES (N.P.) – Family Nurse Practitioner, NPI 1265883623
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MS. KELLY JEAN BUCKLES (N.P.)
2265 Hayes Ave
Fremont, OH 434202632
Phone: (419) 333-8231
Fax: (419) 332-2553
Type: Location
104 E Main St
Woodville, OH 434691209
Phone: (567) 482-4112
Type: Location
PO BOX 378
SANDUSKY, OH 448710378
Phone: (419) 626-6161
Type: Mailing
North River Road, Fremont County, Idaho, United States
FREMONT, OH 434209760
Phone: (419) 355-9440
Fax: (419) 626-9443
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $967.
Total Amount is formed as General ($967) + Research ($0) + Ownership ($0) = $967.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($194).
Total Amount
$967
General + Research + Ownership
Payments
44
Total payment records
General Amount
$967
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $194 |
| AstraZeneca Pharmaceuticals LP | $191 |
| PFIZER INC. | $136 |
| Mylan Specialty L.P. | $65 |
| Dexcom, Inc. | $44 |
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: 2016-08-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160830000259 | I | Nurse Practitioner | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 132 | 56 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 33 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | 30 | $0 |
| 81002 | Urinalysis, manual test | 15 | 12 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 11 | 11 | $0 |
Insurance plans in this area (ZIP 43420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Family Practice | MI | |
| Family Practice | OH | |
| Nurse Practitioner | OH |
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