MRS. JAYLIE BROOKE BUCKNER NP
NPI 1861375446
Nurse Practitioner - Family in Longview, TX
About Mrs. Jaylie Brooke Buckner Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JAYLIE BROOKE BUCKNER NP (NPI 1861375446) is an individual family provider in Longview, Texas, licensed in Texas (1037248) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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
Mrs. Jaylie Brooke Buckner Np 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 Jaylie Buckner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 clinicians in this Medicare group
Texarkana, TX 75503
- Reassigned Medicare billing, Texas enrollment
- 124 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Good Shepherd Medical Center
Acute Care Hospitals · Longview, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONGVIEW, TX 75601
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 Jaylie Buckner's NPI number?
The NPI number for Jaylie Buckner is 1861375446. It was assigned to this individual provider in the NPPES registry on July 30, 2025.
Where is Jaylie Buckner located?
Jaylie Buckner practices at 707 E Marshall Ave, Longview, TX 75601. The listed phone number is (903) 351-5400.
What is Jaylie Buckner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaylie Buckner enrolled in Medicare?
Yes. Jaylie Buckner 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 Jaylie Buckner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaylie Buckner reassigns Medicare benefits to 2 organizations: Christus Trinity Clinic Texas (Tyler, TX) and Pallicare, Inc (Texarkana, TX). 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 Jaylie Buckner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaylie Buckner accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Jaylie Buckner 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.
Is Jaylie Buckner affiliated with any hospitals?
According to CMS data, Jaylie Buckner is affiliated with Christus Good Shepherd Medical Center.
When was this NPI record last updated?
The NPPES record for Jaylie Buckner was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Jaylie Brooke Buckner, NP · NPI 1861375446
Family physician in Longview, Texas. Individual provider, active in the CMS NPPES registry since July 30, 2025.
## Identity
- **NPI:** 1861375446 (Entity type: Individual)
- **Enumerated:** July 30, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1037248 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 707 E MARSHALL AVE, Longview, TX 75601-5545
- **Phone:** (903) 351-5400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX); Pallicare, Inc (NPI 1316511884, Texarkana, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861375446) · Data from the CMS NPPES public registry.