Active NPI
Kimberly Cheree Buckner, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Russellville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 6161072
- Practice address
- 252 N Main St
Russellville, KY 42276-1825 - Phone
- (270) 216-0864
- NPI assigned
- Aug 17, 2021
- Last updated
- Jan 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 11
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| G173499 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 6161072 | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
| 3016537 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 86469 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1054570 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Current | Accepting new patients | |
| Psychiatry of Texas PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Forefront-Rush Medical Service PA | Current | Accepting new patients | |
| Forefront Telecare Inc | Current | Accepting new patients | |
| First Steps Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Psychplus Medical Associates, PLLC | Current | Accepting new patients | |
| Forefront-Matteson Medical Services PC | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Abs Lincs Ky, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Top of Texas Psychiatry, PLLC | Current | 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
- kimberly.buckner.1@13131.direct.athenahealth.com
- kimberly.buckner.1@24287.direct.athenahealth.com
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Russellville, KY
- NPI 1386366649
-
dba Psychplus Associates
- Psychiatry Physician
- Houston, TX
- NPI 1013476027
CO, IA, KY, MA, NC, NM, Psychiatric/Mental Health, TN, VA, WA
-
dba Cumberland Hall Hospital
- Psychiatry Physician
- Hopkinsville, KY
- NPI 1720353501
Psychiatric/Mental Health
-
- Psychiatry Physician
- Amarillo, TX
- NPI 1083036651
-
- Family Medicine Physician
- Houston, TX
- NPI 1558118026
CO, IA, KY, MA, NC, NM, TN, VA, WA
-
- Psychiatry Physician
- Amarillo, TX
- NPI 1952873671
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
-
- Psychiatry Physician
- Dallas, TX
- NPI 1588101745
WA
-
dba ARH Tri-Cities Clinic Pharmacy
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coeur d'Alene, ID
- NPI 1992798409
-
dba HCA Houston Healthcare North Cypress a Campus of HCA Houston Healthcar
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.