LISA KIM BUCKLES
NPI 1851435887
Nurse Practitioner - Family in Fort Sam Houston, TX
About Lisa Kim Buckles NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA KIM BUCKLES (NPI 1851435887) is an individual family provider in Fort Sam Houston, Texas, licensed in Washington (AP60658000) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Kim Buckles is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
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 Lisa Buckles's NPI number?
The NPI number for Lisa Buckles is 1851435887. It was assigned to this individual provider in the NPPES registry on February 15, 2007. The provider is also known as Lisa Kim Bolos.
Where is Lisa Buckles located?
Lisa Buckles practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 808-9503.
What is Lisa Buckles's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Buckles enrolled in Medicare?
Yes. Lisa Buckles is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lisa Buckles was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Lisa Kim Buckles · NPI 1851435887
Family physician in Fort Sam Houston, Texas. Individual provider, active in the CMS NPPES registry since February 15, 2007.
## Identity
- **NPI:** 1851435887 (Entity type: Individual)
- **Enumerated:** February 15, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP60658000 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234-4504
- **Phone:** (210) 808-9503
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851435887) · Data from the CMS NPPES public registry.