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KATHERINE BUCKNER
NPI 1609654169
Registered Nurse - Critical Care Medicine in Birmingham, AL

Active since September 18, 2023PECOS Enrolled
1600 7TH AVE S, BIRMINGHAM, AL 35233(205) 638-9100 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katherine Buckner NPPES

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

KATHERINE BUCKNER (NPI 1609654169) is an individual critical care medicine provider in Birmingham, Alabama, licensed in Alabama (1-186338) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609654169
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameKATHERINE BUCKNER
Location Address1600 7TH AVE SBirmingham, AL 35233-1711
Mailing Address4333 Montevallo RdMountain Brk, AL 35213-2721 · (770) 865-2409
Phone(205) 638-9100
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 18, 2023
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1609654169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in AL · 1-186338
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 338811 (AZ)
1600 7TH AVE S, Birmingham, AL 35233
Open in Google Maps ↗

Secondary Practice Location 1

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Buckner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719457563
PECOS Enrollment IDI20260521004229
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.

Medicare Billing Reassignment

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

Phoenix Children's Medical Group
1,436 mi
Multi-Specialty
5131 E SOUTHERN AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1487814240 (602) 933-0002

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.

MRS. APRIL HOOPER WEATHERLY CRNP
Nurse Practitioner (Acute Care)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 939-9175
ROBERT PATRICK RICHTER M.D.
Pediatrics (Pediatric Critical Care Medicine)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9100
MS. CARLY RAE HAWKINS CRNP
Nurse Practitioner
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9285
DR. MARY ORR M.D.
Hospitalist
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9100
MRS. LAURA NIEMANN OTR/L
Rehabilitation Unit
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9565
AMY URBAN CRNP
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, LOWDER BLDG., SUITE 618
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9918
STEPHANIE BERGER MD
Pediatrics
1600 7TH AVE S, MCWANE BUILDING SUITE 108
BIRMINGHAM, AL 35233
Jefferson County (205) 638-2904
SULA MCELROY GILLESPIE CRNP
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, CHILDRENS OF ALABAMA
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9144

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 Katherine Buckner's NPI number?

The NPI number for Katherine Buckner is 1609654169. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Katherine Buckner located?

Katherine Buckner practices at 1600 7th Ave S, Birmingham, AL 35233. The listed phone number is (205) 638-9100.

What is Katherine Buckner's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

Is Katherine Buckner enrolled in Medicare?

Yes. Katherine Buckner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Buckner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Buckner reassigns Medicare benefits to Phoenix Children's Medical Group (Mesa, AZ). 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 Katherine 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 Katherine Buckner was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.