TERESA BURKE BUCKLEY (NP) – Women's Health Nurse Practitioner, NPI 1164796017

TERESA BURKE BUCKLEY (NP) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 254644 (TX). The NPI Number for TERESA BURKE BUCKLEY (NP) is 1164796017

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
TERESA BURKE BUCKLEY (NP)
NPI
1164796017
Phone
(254) 724-2111
Address
PO BOX 844658
Enumeration Date
23 February 2012
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2547242663
Graduation Year
2012 (14 years ago)
PAC ID
6103072814
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20120813000624
Address ID
TX765080001TE2401XBLDG501

Contacts

Secure Messaging
tbuckley14048@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

22,209 NURSE PRACTITIONER in TX

Provider Addresses for TERESA BURKE BUCKLEY (NP)

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 2401 S 31ST ST

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    Type: Mailing

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: 2012-08-13

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
I20120813000624INurse PractitionerTXTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2727$0
99213Established patient office or other outpatient visit, 20-29 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Can I use this page to confirm TERESA BURKE BUCKLEY (NP)'s NPI?
Yes. TERESA BURKE BUCKLEY (NP) is listed with NPI 1164796017 in the public NPI dataset.
Does CMS list TERESA BURKE BUCKLEY (NP) as active?
Yes — TERESA BURKE BUCKLEY (NP) is active in the NPI listing used on this page.
What taxonomy line describes TERESA BURKE BUCKLEY (NP)?
For research purposes, treat TERESA BURKE BUCKLEY (NP) as Women's Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is TERESA BURKE BUCKLEY (NP) based?
TERESA BURKE BUCKLEY (NP) is tied to Dallas, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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