MELISSA BUCKLIN PA-C
NPI 1285414730
Physician Assistant - Medical in Woodbridge, VA

Active since October 03, 2023PECOS EnrolledAccepts Medicare Assignment
2079 DANIEL STUART SQ, WOODBRIDGE, VA 22191(833) 443-6662 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melissa Bucklin Pa-c NPPES

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

MELISSA BUCKLIN PA-C (NPI 1285414730) is an individual medical provider in Woodbridge, Virginia, licensed in District Of Columbia (PA200002041) 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-C
Location Address2079 DANIEL STUART SQWoodbridge, VA 22191-3317
Mailing Address2079 Daniel Stuart SqWoodbridge, VA 22191-3317
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 3, 2023
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
NPI 1285414730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in DC · PA200002041
2079 DANIEL STUART SQ, Woodbridge, VA 22191

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-c 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 4

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

Physician Assistant (Medical)
2079 DANIEL STUART SQ
WOODBRIDGE, VA 22191
Internal Medicine (Hematology & Oncology)
2079 DANIEL STUART SQ
WOODBRIDGE, VA 22191
Nurse Practitioner (Family)
2079 DANIEL STUART SQ
WOODBRIDGE, VA 22191
Internal Medicine (Hematology & Oncology)
2079 DANIEL STUART SQ
WOODBRIDGE, VA 22191

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 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.

Where is Melissa Bucklin located?

Melissa Bucklin practices at 2079 Daniel Stuart Sq, Woodbridge, VA 22191. The listed phone number is (833) 443-6662.

What is Melissa Bucklin's specialty?

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

Is Melissa Bucklin enrolled in Medicare?

Yes. Melissa Bucklin 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 Melissa Bucklin was last updated on October 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.