NICOLE BUCKLEY
NPI 1033570346
Nurse Practitioner - Family in Lakewood, OH

Active since March 14, 2016PECOS EnrolledAccepts Medicare Assignment
90.31/100
CMS Quality Rating
11706 CLIFTON BLVD, LAKEWOOD, OH 44107(216) 228-9296 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Buckley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE BUCKLEY (NPI 1033570346) is an individual family provider in Lakewood, Ohio, licensed in Ohio (COA.18765-NP) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1033570346
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE BUCKLEY
Location Address11706 CLIFTON BLVDLakewood, OH 44107-2018
Mailing Address16514 Munn RdCleveland, OH 44111-2065 · (440) 364-5444
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 14, 2016
NPI 1033570346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · COA.18765-NP
11706 CLIFTON BLVD, Lakewood, OH 44107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Buckley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789982976
PECOS Enrollment IDI20160421001403
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.38
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
11706 CLIFTON BLVD
LAKEWOOD, OH 44107
Pharmacist
11706 CLIFTON BLVD
LAKEWOOD, OH 44107
Pharmacist
11706 CLIFTON BLVD
LAKEWOOD, OH 44107
Pharmacist
11706 CLIFTON BLVD
LAKEWOOD, OH 44107
Pharmacist
11706 CLIFTON BLVD
LAKEWOOD, OH 44107
Pharmacy
11706 CLIFTON BLVD
CLEVELAND, OH 44107
Nurse Practitioner (Family)
11706 CLIFTON BLVD
LAKEWOOD, OH 44107
Nurse Practitioner (Family)
11706 CLIFTON BLVD
LAKEWOOD, OH 44107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Buckley's NPI number?

The NPI number for Nicole Buckley is 1033570346. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Where is Nicole Buckley located?

Nicole Buckley practices at 11706 Clifton Blvd, Lakewood, OH 44107. The listed phone number is (216) 228-9296.

What is Nicole Buckley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Buckley enrolled in Medicare?

Yes. Nicole Buckley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Buckley accept?

Health plans from CareSource list Nicole Buckley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Buckley was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.