MARISSA BUCKNER FNP-C
NPI 1487044541
Nurse Practitioner - Family in Moore, OK
About Marissa Buckner Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA BUCKNER FNP-C (NPI 1487044541) is an individual family provider in Moore, Oklahoma, licensed in Oklahoma (99136) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marissa Buckner Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Marissa Buckner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73102
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: Emergency Physicians Of Mid-America PC
- 310 clinicians in this Medicare group
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 96 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Marissa Buckner's NPI number?
The NPI number for Marissa Buckner is 1487044541. It was assigned to this individual provider in the NPPES registry on January 28, 2015.
Where is Marissa Buckner located?
Marissa Buckner practices at 2900 S Telephone Rd Suite 250, Moore, OK 73160. The listed phone number is (405) 237-7500.
What is Marissa Buckner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marissa Buckner enrolled in Medicare?
Yes. Marissa Buckner is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Marissa Buckner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Buckner reassigns Medicare benefits to 2 organizations: Emergency Physicians Of Mid-America, P.C. (Oklahoma City, OK) and Oklahoma Emergency Services PC (Lawton, OK). 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 Marissa Buckner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marissa Buckner was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Marissa Buckner, FNP-C · NPI 1487044541
Family physician in Moore, Oklahoma. Individual provider, active in the CMS NPPES registry since January 28, 2015.
## Identity
- **NPI:** 1487044541 (Entity type: Individual)
- **Enumerated:** January 28, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 99136 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 2900 S TELEPHONE RD, SUITE 250, Moore, OK 73160-2968
- **Phone:** (405) 237-7500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Physicians Of Mid-America, P.C. (NPI 1063825297, Oklahoma City, OK); Oklahoma Emergency Services PC (NPI 1114239795, Lawton, OK) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1487044541) · Data from the CMS NPPES public registry.