AMANDA G BUCKLEY DHHS RD
NPI 1720408610
Dietitian, Registered in Berlin, MD
About Amanda G Buckley Dhhs Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA G BUCKLEY DHHS RD (NPI 1720408610) is an individual dietitian, registered in Berlin, Maryland, licensed in Maryland (DX3584) and active in the NPI registry since April 2014. She is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Amanda G Buckley Dhhs Rd 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.
Medicare Billing Reassignments
2Medicare enrollment records show Amanda Buckley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berlin, MD 21811
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Tidalhealth Atlantic Inc
- 125 clinicians in this Medicare group
Salisbury, MD 21801
- Reassigned Medicare billing, Maryland enrollment
- 531 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21811 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BERLIN, MD 21811
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 Amanda Buckley's NPI number?
The NPI number for Amanda Buckley is 1720408610. It was assigned to this individual provider in the NPPES registry on April 18, 2014.
Where is Amanda Buckley located?
Amanda Buckley practices at 9956 N Main St Suite 2, Berlin, MD 21811. The listed phone number is (410) 629-6500.
What is Amanda Buckley's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Amanda Buckley enrolled in Medicare?
Yes. Amanda 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 Amanda Buckley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Buckley reassigns Medicare benefits to 2 organizations: Atlantic General Hospital Corporation (Berlin, MD) and Tidalhealth Specialty Care, LLC (Salisbury, MD). 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 Amanda Buckley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Buckley accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Amanda 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 Amanda Buckley was last updated on April 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Amanda G Buckley, DHHS RD · NPI 1720408610
Dietitian, Registered provider in Berlin, Maryland. Individual provider, active in the CMS NPPES registry since April 18, 2014.
## Identity
- **NPI:** 1720408610 (Entity type: Individual)
- **Enumerated:** April 18, 2014
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DX3584 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 9956 N MAIN ST, SUITE 2, Berlin, MD 21811-1077
- **Phone:** (410) 629-6500 · **Fax:** (410) 641-1006
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Atlantic General Hospital Corporation (NPI 1871582171, Berlin, MD); Tidalhealth Specialty Care, LLC (NPI 1619504735, Salisbury, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** April 18, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1720408610) · Data from the CMS NPPES public registry.