MATTHEW BUCKLES CRNA
NPI 1417387804
Nurse Anesthetist, Certified Registered in San Antonio, TX

Q: What is Matthew Buckles's NPI number?

The NPI number for Matthew Buckles is 1417387804. It was assigned to this individual provider in the NPPES registry on November 21, 2013.

Q: What is Matthew Buckles's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Buckles was last updated on September 16, 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.

Active since November 21, 2013

3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234(210) 960-7500 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 16, 2025, Jun 10, 2025, Feb 26, 2019 (3 updates tracked since 2019).

On this page

About Matthew Buckles Crna NPPES

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

MATTHEW BUCKLES CRNA (NPI 1417387804) is an individual nurse anesthetist, certified registered in San Antonio, Texas, licensed in Washington (AP60451841) and active in the NPI registry since November 2013. He maintains a secondary practice location in Jbsa Lackland and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417387804

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMATTHEW BUCKLESCredential: CRNA

Location Address3551 ROGER BROOKE DRSan Antonio, TX 78234-4504

Mailing Address3551 Roger Brooke DrSan Antonio, TX 78234-4504 · (210) 960-7500

Phone(210) 960-7500

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 21, 2013

Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2025

✔ NPI 1417387804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in WA · AP60451841

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 60297815 (WA)

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

3551 ROGER BROOKE DR, San Antonio, TX 78234

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Secondary Practice Location 1

Location 11100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · Phone (210) 292-6255 · Fax (210) 292-7934

Other Identifiers 1

OtherAP60451841WA · Wa State Board Of Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Buckles Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729547815

PECOS Enrollment IDI20260828002517

Medicare Billing Reassignment

Medicare enrollment records show Matthew Buckles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endo Sedation LLC

198 mi

Nurse Anesthetist, Certified Registered

1015 W MEDICAL CENTER BLVD STE 1200
Webster, TX 77598

Reassigned Medicare billing, Texas enrollment
710 clinicians in this Medicare group

NPI 1811464936 (281) 554-3494

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

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.

JANET JONES SIMS CRNA

Nurse Anesthetist, Certified Registered

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (253) 223-6272

JAMES KENNEDY HARDIN PA-C

Physician Assistant

3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234

Bexar County (210) 295-4996

DR. DANIEL VICTOR-CALVIN HAMMOND M.D.

Pediatrics (Pediatric Endocrinology)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 916-3020

JESSICA FULLER LCSW

Social Worker (Clinical)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 808-1859

DR. JASON ROBERT HALL M.D.

Neurological Surgery

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

MRS. KATHRYN ELAINE HELLAND LCSW

Social Worker (Clinical)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

DR. HALWARD BLEGEN IV DO

Ophthalmology

3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234

Bexar County (210) 220-7419

KOLE HOLLAND SPAULDING M.D.

Emergency Medicine (Emergency Medical Services)

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Bexar County (210) 539-9582

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 Matthew Buckles's NPI number?

The NPI number for Matthew Buckles is 1417387804. It was assigned to this individual provider in the NPPES registry on November 21, 2013.

Where is Matthew Buckles located?

Matthew Buckles practices at 3551 Roger Brooke Dr, San Antonio, TX 78234. The listed phone number is (210) 960-7500.

What is Matthew Buckles's specialty?

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

Is Matthew Buckles enrolled in Medicare?

Yes. Matthew Buckles is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Buckles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Buckles reassigns Medicare benefits to Endo Sedation LLC (Webster, TX). The 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 Matthew Buckles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Buckles accept?

Health plans from Blue Cross and Blue Shield of Texas list Matthew Buckles 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 Matthew Buckles was last updated on September 16, 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.