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JESSICA LYNN BUCKWALTER
NPI 1760002620
Dentist in Roanoke, VA

Active since April 21, 2020PECOS Enrolled
1111 S JEFFERSON ST, ROANOKE, VA 24016(540) 855-6800 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Mar 25, 2023, Apr 21, 2020 (3 updates tracked since 2020).

About Jessica Lynn Buckwalter NPPES

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

JESSICA LYNN BUCKWALTER (NPI 1760002620) is an individual dentist in Roanoke, Virginia, licensed in Virginia (0401417442) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760002620
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJESSICA LYNN BUCKWALTER
Location Address1111 S JEFFERSON STRoanoke, VA 24016-4724
Mailing Address3553 Murchies Hill RdRichmond, VA 23234-3327 · (703) 473-3308
Phone(540) 855-6800
Sole ProprietorYes
Enumeration DateApril 21, 2020
Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1760002620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401417442
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1111 S JEFFERSON ST, Roanoke, VA 24016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Buckwalter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERSON INTERNAL MEDICINE ASSOCIATES, LTD
Internal Medicine
1111 S JEFFERSON ST, SUITE B
ROANOKE, VA 24016
Roanoke City (540) 342-1007
CATHERINE SCHUTT HURTE FNP
Nurse Practitioner (Family)
1111 S JEFFERSON ST
ROANOKE, VA 24016
Roanoke City (540) 769-3964
CARILION HEALTHCARE CORPORATION
Clinic/Center (Dental)
1111 S JEFFERSON ST
ROANOKE, VA 24016
Roanoke City (540) 855-6800

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 Jessica Buckwalter's NPI number?

The NPI number for Jessica Buckwalter is 1760002620. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Where is Jessica Buckwalter located?

Jessica Buckwalter practices at 1111 S Jefferson St, Roanoke, VA 24016. The listed phone number is (540) 855-6800.

What is Jessica Buckwalter's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jessica Buckwalter enrolled in Medicare?

Yes. Jessica Buckwalter is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Buckwalter accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jessica Buckwalter 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 Jessica Buckwalter was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.