Individual provider Active NPI

Jessica Ann Buckner, FNP-C

  • Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1043868284
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012198 Issued in NC
Practice address
250 18TH Street Cir SE
Hickory, NC 28602-1361
Phone
(828) 324-4005
Fax
(828) 315-5974
NPI assigned
Aug 30, 2019
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012198 NC Primary

Addresses

Primary practice location

250 18TH Street Cir SE
Hickory, NC 28602-1361

Mailing address

1031 Morganton Blvd SW
Lenoir, NC 28645-5677
Phone (828) 757-8240

Other names 1

  • Jessica Ann Townsend Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191118003207 NC Practitioner - Nurse Practitioner 2264864933 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

2972 N Ctr St
Hickory, NC 28601-1159
Phone (828) 569-2880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5012198NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital, Inc. CurrentSince Mar 2, 2021 Accepting new patients
East Carolina Anesthesia Associates, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Oct 7, 2019 Accepting new patients
Caldwell Memorial Hospital, Inc CurrentSince Oct 7, 2019 Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Caldwell Memorial Hospital, Inc. Past Accepting new patients

Locations

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

2972 N Center St
Hickory, NC 28601
Phone (828) 431-4955

420 N Center St
Hickory, NC 28601
Phone (704) 660-4055

50 13th Ave NE
Ste 1
Hickory, NC 28601
Phone (828) 624-1250

270 Pine Mountain Rd
Ste 5
Hudson, NC 28638
Phone (828) 757-8206

1031 Morganton Blvd SW
Lenoir, NC 28645
Phone (828) 757-6200

1031 Morganton Blvd SW
Ste C
Lenoir, NC 28645
Phone (828) 757-8240

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

Interoperability endpoints

  • Direct secure messaging: jtownsend139541@direct.unc.nchie.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1043868284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455677",
            "telephone_number": "828-757-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 18TH STREET CIR SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021361",
            "telephone_number": "828-324-4005",
            "fax_number": "828-315-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "TOWNSEND",
            "middle_name": "ANN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.