MICHELLE A. BUCKLEY NP
NPI 1083040372
Nurse Practitioner in Savannah, GA

Q: What is Michelle Buckley's NPI number?

The NPI number for Michelle Buckley is 1083040372. It was assigned to this individual provider in the NPPES registry on September 19, 2013.

Q: What is Michelle Buckley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Buckley was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since September 19, 2013PECOS EnrolledAccepts Medicare Assignment

4 E JACKSON BLVD, SAVANNAH, GA 31405(912) 355-1010(912) 351-0589 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2025, Mar 31, 2021, Aug 17, 2020 (3 updates tracked since 2020).

On this page

About Michelle A. Buckley Np NPPES

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

MICHELLE A. BUCKLEY NP (NPI 1083040372) is an individual nurse practitioner in Savannah, Georgia, licensed in Georgia (NP243991) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial University Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1083040372

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMICHELLE A. BUCKLEYCredential: NP

Location Address4 E JACKSON BLVDSavannah, GA 31405-5895

Mailing Address706 Central BlvdGuyton, GA 31312-4329 · (912) 355-1010 · Fax (912) 351-0589

Phone(912) 355-1010

Fax(912) 351-0589

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 19, 2013

Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1083040372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · NP243991

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4 E JACKSON BLVD, Savannah, GA 31405

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Other Identifiers 1

Medicaid003153898AGA

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

Michelle A. Buckley Np 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 ID8628207354

PECOS Enrollment IDI20150226001547

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110036

Location4700 Waters AvenueSavannah, GA 31404 · Chatham County

Emergency services Birthing friendly

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110043

Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31405 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Other Providers at the Same Location NPPES 20

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

MIKHALA JUNO MORIAH JOHNS PA

Physician Assistant (Surgical)