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MRS. JESSICA BLOOM BUCKLEY
NPI 1396828992
Nurse Anesthetist, Certified Registered in Charleston, WV

Active since October 24, 2006Accepts Medicare Assignment
90.11/100
CMS Quality Rating
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 388-4077(304) 388-9852 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Jessica Bloom Buckley NPPES

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

MRS. JESSICA BLOOM BUCKLEY (NPI 1396828992) is an individual nurse anesthetist, certified registered in Charleston, West Virginia, licensed in West Virginia (73554) and active in the NPI registry since October 2006. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1396828992
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. JESSICA BLOOM BUCKLEY
Location Address3200 MACCORKLE AVE SECharleston, WV 25304
Mailing Address3 Dawn PlaceCharleston, WV 25314 · (304) 344-0949
Phone(304) 388-4077
Fax(304) 388-9852
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 24, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1396828992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WV · 73554
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 61450 (WV)
3200 MACCORKLE AVE SE, Charleston, WV 25304
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Other Names 1

Former Name (1)Jessica Anne Bloom

Other Identifiers 2

OtherP00274757WV · R Medicare
Medicaid3810004241WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessica Bloom 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 ID2860416468
PECOS Enrollment IDI20060123000476

Medicare Billing Reassignments

4

Medicare enrollment records show Jessica Buckley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charleston Area Medical Center, Inc.
1.7 mi
Orthopaedic Surgery
415 MORRIS ST STE 400
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1750166898 (304) 344-3551
Professional Anesthesia Service,inc.
2.9 mi
Anesthesiology
110 ROANE ST
Charleston, WV 25302
  • Reassigned Medicare billing, West Virginia enrollment
  • 91 clinicians in this Medicare group
NPI 1720035827 (304) 344-0096
Montgomery General Hospital, Inc
18 mi
Critical Access
401 6TH AVE
Montgomery, WV 25136
  • Reassigned Medicare billing, West Virginia enrollment
  • 91 clinicians in this Medicare group
NPI 1619913647 (304) 442-5151
Safe & Sound Anesthesia Services LLC
46 mi
Nurse Anesthetist, Certified Registered
84 BROOKSHIRE LN
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 12 clinicians in this Medicare group
NPI 1215654553 (304) 255-2724

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
40 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

CAMERON DUBA DO
Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-4172
WILLIAM JARRETT WISEMAN BSN, RN, CCRN-CMC
Registered Nurse
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 993-1088
MS. BRENDA LOU KEEFER ANP
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 925-3436
LOUISE NAYLOR
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARSTON, WV 25304
Kanawha County (304) 388-4077
DR. JEFFREY V ASHLEY M.D.
Family Medicine
3200 MACCORKLE AVE SE, FIFTH FLOOR
CHARLESTON, WV 25304
Kanawha County (304) 388-4600
TIFFANY D. DUTTON CRNA
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE, DEPT. OF SURGERY
CHARLESTON, WV 25304
Kanawha County (304) 388-5503
JENNIFER D VALDEZ
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-5432
CHRISTOPHER S MULLINS
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 688-0228

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 Jessica Buckley's NPI number?

The NPI number for Jessica Buckley is 1396828992. It was assigned to this individual provider in the NPPES registry on October 24, 2006. The provider is also known as Jessica Anne Bloom.

Where is Jessica Buckley located?

Jessica Buckley practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-4077.

What is Jessica Buckley's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jessica Buckley enrolled in Medicare?

Yes. Jessica 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.

Which organizations bill Medicare for Jessica Buckley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Buckley reassigns Medicare benefits to 4 organizations: Charleston Area Medical Center, Inc. (Charleston, WV), Professional Anesthesia Service,inc. (Charleston, WV), Montgomery General Hospital, Inc (Montgomery, WV) and Safe & Sound Anesthesia Services LLC (Beckley, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Buckley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Buckley accept?

Health plans from CareSource list Jessica 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 Jessica Buckley was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.