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JACQUELINE R. BUCKLEY, LLC
NPI 1568085454
Podiatrist - Foot & Ankle Surgery in Renton, WA

Active since May 26, 2020
1412 SW 43RD ST, RENTON, WA 98057(360) 504-6665(844) 979-3080 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline R. Buckley, Llc NPPES

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

JACQUELINE R. BUCKLEY, LLC (NPI 1568085454), doing business as Roka Foot And Ankle Centers, is a healthcare organization registered as a foot & ankle surgery in Renton, Washington and active in the NPI registry since May 2020. The organization lists Jacqueline Renee Buckley, Owner, as its authorized official.

NPPES Registry Identity

NPI1568085454
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJACQUELINE R. BUCKLEY, LLC
Location Address1412 SW 43RD STRenton, WA 98057-4803
Mailing Address9706 S 230th PlKent, WA 98031-2728 · (404) 808-4486
Phone(360) 504-6665
Fax(844) 979-3080
Organization SubpartNo
Authorized OfficialJacqueline Renee BuckleyOwner · (404) 808-4486
Enumeration DateMay 26, 2020
NPPES CertifiedMay 26, 2020
✔ NPI 1568085454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
1412 SW 43RD ST, Renton, WA 98057
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Other Names 1

Doing Business AsRoka Foot And Ankle Centers

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline R. Buckley, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacqueline R. Buckley, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacqueline Buckley, DPM
Podiatry
NPI 1518246628
13030 121ST WAY NE #204
Kirkland, WA 98034
(404) 808-4486
✔ PECOS✔ Accepts Medicare19 mi

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

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 Jacqueline R. Buckley, LLC's NPI number?

The NPI number for Jacqueline R. Buckley, LLC is 1568085454. It was assigned to this organization in the NPPES registry on May 26, 2020. The provider is doing business as Roka Foot and Ankle Centers.

Where is Jacqueline R. Buckley, LLC located?

Jacqueline R. Buckley, LLC is located at 1412 SW 43rd St, Renton, WA 98057. The listed phone number is (360) 504-6665.

What is Jacqueline R. Buckley, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jacqueline R. Buckley, LLC enrolled in Medicare?

Yes. Jacqueline R. Buckley, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacqueline R. Buckley, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Jacqueline R. Buckley, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jacqueline R. Buckley, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jacqueline R. Buckley, LLC 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 Jacqueline R. Buckley, LLC was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.