Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MELISSA BUCKLIN PA
NPI 1285414730
Physician Assistant - Medical in Syracuse, NY

Q: What is Melissa Bucklin's NPI number?

The NPI number for Melissa Bucklin is 1285414730. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Q: What is Melissa Bucklin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Bucklin was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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 October 03, 2023PECOS Enrolled

750 EAST ADAMS STREET, SYRACUSE, NY 13210(315) 464-8200(315) 464-8206 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 24, 2026, Oct 3, 2023 (2 updates tracked since 2023).

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About Melissa Bucklin Pa NPPES

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

MELISSA BUCKLIN PA (NPI 1285414730) is an individual medical provider in Syracuse, New York, licensed in New York (035913) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1285414730

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMELISSA BUCKLINCredential: PA

Location Address750 EAST ADAMS STREETSyracuse, NY 13210

Mailing Address251 Salina Meadows Parkway, Ste 100Syracuse, NY 13212 · (315) 464-2096 · Fax (315) 464-2010

Phone(315) 464-8200

Fax(315) 464-8206

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 3, 2023

Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1285414730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in NY · 035913✔ Licensed in DC · PA200002041✔ Licensed in VA · 0110009633

Also ListedPhysician AssistantTaxonomy 363A00000X · License 035913 (NY)

750 EAST ADAMS STREET, Syracuse, NY 13210

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Secondary Practice Location 1

Location 12150 Pennsylvania Ave NWWashington, DC 20037-3201 · Phone (202) 741-2210

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

Melissa Bucklin Pa 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 ID7315382124

PECOS Enrollment IDI20241026000265

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.

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.

SARAH BOWLER PA

Physician Assistant