Individual provider Active NPI

Jeani Buckley, NP

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1609320357
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016023935 Issued in MO
Practice address
900 E Battlefield St Ste 124
Springfield, MO 65807-5208
Phone
(417) 986-1289
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016023935 MO Primary

Addresses

Primary practice location

900 E Battlefield St Ste 124
Springfield, MO 65807-5208

Mailing address

900 E Battlefield St Ste 124
Springfield, MO 65807-5208
Phone (417) 986-1289

Other practice location 1

303 W Sunshine St
Springfield, MO 65807-2656
Phone (417) 986-0452

Other practice location 2

3233 E Sunshine St Ste 100
Springfield, MO 65804-2106
Phone (417) 812-8149

Other practice location 3

2150 W Republic Rd Ste 112
Springfield, MO 65807-6056
Phone (417) 986-1291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160921001859 MO Practitioner - Nurse Practitioner 0648567503 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baron Cardiology Group, PC CurrentSince Jun 1, 2018 Accepting new patients
Mercy Southern Missouri Ambulatory Services LLC CurrentSince Jul 1, 2020 Accepting new patients
Lincoln County Hospital Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291

900 E Battlefield St
Ste 124
Springfield, MO 65807
Phone (417) 556-8967

1242 E Independence St
Ste 200
Springfield, MO 65804
Phone (417) 883-5500

303 W Sunshine St
Springfield, MO 65807
Phone (417) 986-0452

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1609320357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E BATTLEFIELD ST STE 124",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075208",
            "telephone_number": "417-986-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BATTLEFIELD ST STE 124",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075208",
            "telephone_number": "417-986-1289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 W Sunshine St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658072656",
            "country_code": "US",
            "telephone_number": "417-986-0452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3233 E Sunshine St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042106",
            "country_code": "US",
            "telephone_number": "417-812-8149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 W Republic Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658076056",
            "country_code": "US",
            "telephone_number": "417-986-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "JEANI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016023935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.