Kimberly Ann Buckley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3006056 Issued in KY

Practice address

6200 Dutchmans LN Ste 300
Louisville, KY 40205-3271

Phone

(502) 456-6200

Fax

(502) 813-2660

NPI assigned

Jun 16, 2009

Last updated

Jun 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly Ann Wasierski Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cogent Healthcare of Kentucky, PSCGroup PAC ID 0648294157, 106 clinicians

Care Guide Partners Medical Services LLCGroup PAC ID 4183062680, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Saint Joseph Flaget Memorial Hospital Hospital, Bardstown, KY, CCN 180025

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Care Guide Partners Medical Services, LLC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1174394498

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Kentucky, PSC

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1053362293

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Exceptional Care Services LLC

  • Primary Care Clinic/Center
  • Lexington, KY
  • NPI 1245900794

  Nurse Practitioner

  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  Nurse Practitioner

  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  KY

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Indiana, LLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1720416555
  NPD

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

• Flaget Healthcare, Inc

  dba CHI Saint Joseph Health - Flaget Memorial Hospital

  • General Acute Care Hospital
  • Bardstown, KY
  • NPI 1871588772
  Care Compare affiliation

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1891922977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053271",
            "telephone_number": "502-456-6200",
            "fax_number": "502-813-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053271",
            "telephone_number": "502-456-6200",
            "fax_number": "502-813-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4305 New Shepherdsville Rd",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400049019",
            "country_code": "US",
            "telephone_number": "502-350-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S Salem Dr",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400041761",
            "country_code": "US",
            "telephone_number": "502-350-5081",
            "fax_number": "502-349-4745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006056",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbuckley@cgpms.org",
            "affiliation": "N",
            "address_1": "6200 Dutchmans Ln Ste 300",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WASIERSKI",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Phillips Buckelew, PHD
• William Paul Buckingham, MSW, LCSW, BCD
• Jennifer L Buckland-Stern, MSW
• Ashley Lynn Buckler, CDCES RD
• Andrew Robert Buckley, D.O.
• Marlon J Buckley Sr.
• Brigid M Buckman, ARNP
• Julie Ann Buckman, APRN
• Susan Buckmaster
• Shatova Buckner-Ramsey, DSW, CSW

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.