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MICHALIA COLLEEN BUCKLEY CPNP-PC
NPI 1942996194
Nurse Practitioner in Boston, MA

Active since April 12, 2023Opted out of Medicare · through Aug 26, 2027

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2023, Apr 12, 2023 (2 updates tracked since 2023).

About Michalia Colleen Buckley Cpnp-pc NPPES

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

MICHALIA COLLEEN BUCKLEY CPNP-PC (NPI 1942996194) is an individual nurse practitioner in Boston, Massachusetts, licensed in Massachusetts (202325670) and active in the NPI registry since April 2023. She has opted out of Medicare through August 26, 2027.

NPPES Registry Identity

NPI1942996194
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHALIA COLLEEN BUCKLEYCredential: CPNP-PC
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address55 Fruit StreetBoston, MA 02241-2696 · (617) 724-9040
Phone(617) 724-9040
Sole ProprietorNo
Enumeration DateApril 12, 2023
Last NPPES UpdateAugust 3, 20232 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
✔ NPI 1942996194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 202325670
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 202325670 (MA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
55 FRUIT ST, Boston, MA 02114
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michalia Colleen Buckley Cpnp-pc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 26, 2025 through August 26, 2027.

Opt-Out Effective DateAugust 26, 2025
Opt-Out In Effect ThroughAugust 26, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Michalia Buckley's NPI number?

The NPI number for Michalia Buckley is 1942996194. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Michalia Buckley located?

Michalia Buckley practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-9040.

What is Michalia Buckley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michalia Buckley enrolled in Medicare?

No. Michalia Buckley has opted out of Medicare through August 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michalia Buckley was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.