Individual provider Active NPI

Kimberly Cheree Buckner, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Russellville, KY
National Provider Identifier
1437825767
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6161072 Issued in ID
Practice address
252 N Main St
Russellville, KY 42276-1825
Phone
(270) 216-0864
NPI assigned
Aug 17, 2021
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1054570 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G173499 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3016537 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6161072 ID Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 86469 NM

Addresses

Primary practice location

252 N Main St
Russellville, KY 42276-1825

Mailing address

252 N Main St
Russellville, KY 42276-1825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TX, IA, ID, WA, CO, NC, MA, NM, TN, VA11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20211122002788 KY Practitioner - Nurse Practitioner 4486043924 Reassigns benefits to 6 organizations
I20220324000004 TX Practitioner - Nurse Practitioner 4486043924 Reassigns benefits to 5 organizations
I20230328000918 IA Practitioner - Nurse Practitioner 4486043924 Reassigns benefits to 4 organizations
I20241211004116 ID Practitioner - Nurse Practitioner 4486043924 Reassigns benefits to 2 organizations
I20251218000651 WA Practitioner - Nurse Practitioner 4486043924 Reassigns benefits to 3 organizations
I20251231002247 CO Practitioner - Nurse Practitioner 4486043924 Reassigns benefits to 2 organizations
I20260214000046 NC Practitioner - Nurse Practitioner 4486043924 Reassigns benefits to 4 organizations
I20260303003205 MA Practitioner - Nurse Practitioner 4486043924 Reassigns benefits to 2 organizations
I20260313003882 NM Practitioner - Nurse Practitioner 4486043924 Reassigns benefits to 2 organizations
I20260424002150 TN Practitioner - Nurse Practitioner 4486043924 Reassigns benefits to 2 organizations
I20260618003081 VA Practitioner - Nurse Practitioner 4486043924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forefront Telecare IncGroup PAC ID 9638319114, 29 clinicians
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians
Forefront-Matteson Medical Services PCGroup PAC ID 8527473693, 12 clinicians

Practice addresses (Care Compare)

1001 Penn Ave
Ottumwa, IA 52501-6427
Phone (972) 449-0540

10020 W Fairview Ave
Suite 104
Boise, ID 83704-8570
Phone (972) 449-0540

1407 62ND St
Des Moines, IA 50311-1941
Phone (832) 869-4818

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (972) 449-0540

20 E St
Suite 20
Hanover, MA 02339
Phone (832) 869-4818

2220 Edward Holland Dr
Richmond, VA 23230-2519
Phone 8328694818235

252 N Main St
Suite 1
Russellville, KY 42276-1825
Phone (270) 216-0864

2810 Coliseum Centre Dr
Suite 120
Charlotte, NC 28217-3255
Phone (972) 449-0540

322 Lamar Ave
Suite 220
Charlotte, NC 28204-2436
Phone 8328694818235

325 Cherokee Blvd
Suite 102
Chattanooga, TN 37405-4476
Phone 83286948181004

4801 N Butler Ave
Suite 9102
Farmington, NM 87401-3300
Phone 83286948181004

509 Olive Way
Suite 1259 12TH Floor
Seattle, WA 98101-1745
Phone 8328694818235

6169 S Balsam Way
Suite 320
Littleton, CO 80123-3064
Phone 8328694818235

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235

950 Breckenridge LN
Suite 120
Louisville, KY 40207-4687
Phone (832) 869-4818

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G173499IAMDPsychiatric/Mental Health Nurse Practitioner
6161072IDMDPsychiatric/Mental Health Nurse Practitioner
3016537KYMDPsychiatric/Mental Health Nurse Practitioner
86469NMMDPsychiatric/Mental Health Nurse Practitioner
1054570TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Jan 18, 2025 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Feb 26, 2024 Accepting new patients
Forefront-Rush Medical Service PA CurrentSince Feb 24, 2023 Accepting new patients
Forefront Telecare Inc CurrentSince Mar 15, 2023 Accepting new patients
First Steps Wellness LLC Psychiatric/Mental Health CurrentSince Apr 25, 2023 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Dec 26, 2024 Accepting new patients
Forefront-Matteson Medical Services PC CurrentSince Feb 2, 2026 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 3, 2023 Accepting new patients
Abs Lincs Ky, LLC Psychiatric/Mental Health CurrentSince Oct 18, 2021 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 3, 2023 Accepting new patients
Top of Texas Psychiatry, PLLC CurrentSince Dec 21, 2025 Accepting new patients
Tele-Physicians, P.C. Past Accepting new patients
Kootenai Health, Inc. Past Accepting new patients

Locations (25 of 41)

212 Willie Ray Dr
Cabot, AR 72023
Phone (501) 333-9110

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5446 N Academy Blvd
Ste 102
Colorado Springs, CO 80918
Phone (719) 224-8690

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

1554 N Emerson St
Unit 5
Denver, CO 80218
Phone (720) 358-2862

6169 S Balsam Way
Ste 320
Littleton, CO 80123
Phone (303) 973-3668

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

400 Locust St
Ste 400
Des Moines, IA 50309
Phone (515) 664-2681

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

10020 W Fairview Ave
Ste 104
Boise, ID 83704
Phone (954) 997-6781

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

270 Walton Way
Hopkinsville, KY 42240
Phone (270) 886-1919

828 Lane Allen Rd
Ste 219
Lexington, KY 40504
Phone (317) 782-1577

950 Breckenridge Ln
Ste 120
Louisville, KY 40207

252 N Main St
Ste 1
Russellville, KY 42276
Phone (270) 216-0864

20 East St
Ste 20
Hanover, MA 02339
Phone (781) 829-8900

322 Lamar Ave
#220
Charlotte, NC 28204

322 Lamar Ave
Ste 220
Charlotte, NC 28204
Phone (704) 914-5910

330 Billingsley Rd
Ste 204
Charlotte, NC 28211
Phone (704) 365-9871

3541 Randolph Rd
Ste 102W
Charlotte, NC 28211
Phone (704) 582-9799

4801 N Butler Ave
Ste 9102
Farmington, NM 87401
Phone (505) 327-3338

66755 State St
Cambridge, OH 43725
Phone (740) 200-5552

150 Springside Dr
Ste 350C
Fairlawn, OH 44333
Phone (330) 813-8396

Interoperability endpoints

  • Direct secure messaging: kimberly.buckner.1@13131.direct.athenahealth.com
  • Direct secure messaging: kimberly.buckner.1@24287.direct.athenahealth.com
  • Direct secure messaging: kimberly.buckner.1@32143.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1437825767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 N MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 N MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761825",
            "telephone_number": "270-216-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "KIMBERLY",
        "middle_name": "CHEREE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1054570",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G173499",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3016537",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "6161072",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "86469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, KY

Sources for this page

Verify at the official NPI Registry.