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CARISSA BUCKEY NP
NPI 1114485067
Nurse Practitioner - Family in Glendale, AZ

Active since March 11, 2019PECOS EnrolledAccepts Medicare Assignment
83.63/100
CMS Quality Rating
5859 W TALAVI BLVD, STE 100, GLENDALE, AZ 85306(602) 298-7777(623) 930-6060 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2019, Apr 4, 2019, Mar 11, 2019 (3 updates tracked since 2019).

About Carissa Buckey Np NPPES

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

CARISSA BUCKEY NP (NPI 1114485067) is an individual family provider in Glendale, Arizona, licensed in Arizona (AP11492) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114485067
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARISSA BUCKEYCredential: NP
Location Address5859 W TALAVI BLVD, STE 100Glendale, AZ 85306-1870
Mailing Address5859 W Talavi Blvd, Ste 100Glendale, AZ 85306-1870 · (602) 298-7777 · Fax (623) 930-6060
Phone(602) 298-7777
Fax(623) 930-6060
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 11, 2019
Last NPPES UpdateJune 14, 20223 updates tracked since enumeration
NPPES CertifiedJune 14, 2022
✔ NPI 1114485067 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 AZ · AP11492
5859 W TALAVI BLVD, Glendale, AZ 85306
Open in Google Maps ↗

Secondary Practice Locations 2

Location 142104 N Venture Dr Ste D118Anthem, AZ 85086-3837 · Phone (623) 879-6000 · Fax (623) 516-2000
Location 233423 N 32nd Ave Ste 2200Phoenix, AZ 85085-8874 · Phone (623) 879-6000 · Fax (623) 516-2000

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

Carissa Buckey 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 ID1951634211
PECOS Enrollment IDI20230816000902
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
856 services447 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
215 services188 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85306 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

83.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.79
Promoting Interoperability97
Improvement Activities40
Cost62.56

Other Providers at the Same Location NPPES 17

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

JOHN C LINCOLN , LLC
Internal Medicine
5859 W TALAVI BLVD, SUITE 165
GLENDALE, AZ 85306
Maricopa County (602) 548-7800
DANA HOCK FNP
Nurse Practitioner (Family)
5859 W TALAVI BLVD, STE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777
DOUGLAS P JENSEN MD
Internal Medicine (Cardiovascular Disease)
5859 W TALAVI BLVD, SUITE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777
MS. KATHLEEN M BERRY FNP-BC
Nurse Practitioner (Family)
5859 W TALAVI BLVD, SUITE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777
RAJUL I PATEL MD
Internal Medicine (Cardiovascular Disease)
5859 W TALAVI BLVD, SUITE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777
DR. G. RESHMAAL DEEPTHI GOMES CUMARANATUNGE MD
Internal Medicine (Cardiovascular Disease)
5859 W TALAVI BLVD, SUITE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777
DR. DANNY CLAYTON BLANKENSHIP M.D.
Internal Medicine (Interventional Cardiology)
5859 W TALAVI BLVD, SUITE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777
DR. KENNETH DIZON DO
Internal Medicine (Cardiovascular Disease)
5859 W TALAVI BLVD, STE 100
GLENDALE, AZ 85306
Maricopa County (602) 298-7777

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 Carissa Buckey's NPI number?

The NPI number for Carissa Buckey is 1114485067. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Carissa Buckey located?

Carissa Buckey practices at 5859 W Talavi Blvd Ste 100, Glendale, AZ 85306. The listed phone number is (602) 298-7777.

What is Carissa Buckey's specialty?

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

Is Carissa Buckey enrolled in Medicare?

Yes. Carissa Buckey 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.

When was this NPI record last updated?

The NPPES record for Carissa Buckey was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.