Melanie Denise Buckley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1059 Issued in NV

Practice address

500 Damonte Ranch Pkwy
Suite 703
Reno, NV 89521-5912

Phone

(775) 398-4600

Fax

(775) 398-4606

NPI assigned

Sep 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clemmensen, Adams, and Tack PSCGroup PAC ID 1052398591, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.72 of 100Reported as group

Quality

72.55

Promoting interoperability

98

Improvement activities

40

Cost

91.52

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Clemmensen, Adams, & Tack PSC

  • Dermatology Physician
  • Carson City, NV
  • NPI 1780852368
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1124215090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DAMONTE RANCH PKWY",
            "address_2": "SUITE 703",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215912",
            "telephone_number": "775-398-4600",
            "fax_number": "775-398-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DAMONTE RANCH PKWY",
            "address_2": "SUITE 703",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215912",
            "telephone_number": "775-398-4600",
            "fax_number": "775-398-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MELANIE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA1059",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA19322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Steven Buckler, PTA
• Joan Jarboe Buckler, PT
• April Marie Buckley, LMSW, CSW INTERN
• Conor P Buckley, MD
• Katherine Buckley, PT
• Bud a. West, M. D., LTD.
• Natalie Rose Buddiga
• Marie Juliette Budesa, MD
• Jan Lee Budetti, LCSW
• Sonia Budhecha, M.D.

• Physician Assistant in Reno, NV
• Providers in Reno, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.