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JACQUELYN A BUCKLEY PA-C
NPI 1871500165
Physician Assistant in Gansevoort, NY

Active since August 01, 2006PECOS Enrolled
1299 ROUTE 9, GANSEVOORT, NY 12831(518) 761-6961(518) 761-1006 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2025, May 23, 2025, Dec 20, 2024 and 1 more (4 updates tracked since 2022).

About Jacquelyn A Buckley Pa-c NPPES

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

JACQUELYN A BUCKLEY PA-C (NPI 1871500165) is an individual physician assistant in Gansevoort, New York, licensed in New York (010844) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871500165
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELYN A BUCKLEYCredential: PA-C
Location Address1299 ROUTE 9Gansevoort, NY 12831-1560
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Phone(518) 761-6961
Fax(518) 761-1006
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateDecember 30, 20254 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1871500165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 010844
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1299 ROUTE 9, Gansevoort, NY 12831
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Other Names 1

Former Name (1)Jacquelyn A Delisle Pa

Other Identifiers 1

Medicaid03160905NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn A Buckley Pa-c 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 12831 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 16

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

ERIN M MORINE DO
Emergency Medicine (Sports Medicine)
1299 ROUTE 9
GANSEVOORT, NY 12831
Saratoga County (518) 761-6961
ANDREA GRACE HENNESSY FNP
Nurse Practitioner (Family)
1299 ROUTE 9
GANSEVOORT, NY 12831
Saratoga County (518) 761-6961
HUDSON HEADWATERS HEALTH NETWORK
Clinic/Center (Primary Care)
1299 ROUTE 9
GANSEVOORT, NY 12831
Saratoga County (518) 761-6961
THOMAS L LUSIGNAN LCSW-R
Social Worker (Clinical)
1299 ROUTE 9
GANSEVOORT, NY 12831
Saratoga County (518) 761-6961
MARK A QUARESIMA MD
Family Medicine
1299 ROUTE 9
GANSEVOORT, NY 12831
Saratoga County (518) 761-6961
AMINE F GEBREMICHAEL MD
Pediatrics
1299 ROUTE 9
GANSEVOORT, NY 12831
Saratoga County (518) 761-6961
KERRI ANN GREY FNP
Nurse Practitioner (Family)
1299 ROUTE 9
GANSEVOORT, NY 12831
Saratoga County (518) 761-6961
LAUREN E GUSH PA-C
Physician Assistant
1299 ROUTE 9
GANSEVOORT, NY 12831
Saratoga County (518) 761-6961

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 Jacquelyn Buckley's NPI number?

The NPI number for Jacquelyn Buckley is 1871500165. It was assigned to this individual provider in the NPPES registry on August 1, 2006. The provider is also known as Jacquelyn A Delisle PA.

Where is Jacquelyn Buckley located?

Jacquelyn Buckley practices at 1299 Route 9, Gansevoort, NY 12831. The listed phone number is (518) 761-6961.

What is Jacquelyn Buckley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacquelyn Buckley enrolled in Medicare?

Yes. Jacquelyn Buckley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Buckley was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.