Individual provider Active NPI

Christine Clara Buckley

  • Family Nurse Practitioner
  • Watertown, NY
National Provider Identifier
1932495876
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336832-1 Issued in NY
Practice address
826 Washington St Ste 106
Watertown, NY 13601-4071
Phone
(315) 786-2000
Fax
(315) 786-2899
NPI assigned
Jun 20, 2011
Last updated
Jul 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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 F336832-1 NY Primary

Addresses

Primary practice location

826 Washington St Ste 106
Watertown, NY 13601-4071

Mailing address

826 Washington St Ste 106
Watertown, NY 13601-4071
Phone (315) 786-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110715000486 NY Practitioner - Nurse Practitioner 6608044722 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group, New York, PCGroup PAC ID 4587793294, 117 clinicians
Samaritan Medical CenterGroup PAC ID 8123914876, 157 clinicians
Ashraf Medical Group PLLCGroup PAC ID 1850560830, 30 clinicians

Practice addresses (Care Compare)

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000

900 Route 376
Suite H
Wappingers Falls, NY 12590-6496
Phone (845) 204-9260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F336832-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc CurrentSince May 1, 2023 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Wellnow Urgent Care, PC CurrentSince Apr 1, 2020 Accepting new patients
Carthage Area Hospital Inc. CurrentSince May 1, 2023 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Oct 1, 2023 Accepting new patients
Samaritan Medical Practice, PC PastSince Jul 12, 2021 Accepting new patients
James E. Willis MD PC PastSince Jan 1, 1996 Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

515 Main St
Olean, NY 14760
Phone (716) 373-2600

1233 Arsenal St
Watertown, NY 13601
Phone (315) 221-5289

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

830 Washington St
#13282
Watertown, NY 13601
Phone (315) 785-4667

830 Washington St
Ste 106
Watertown, NY 13601
Phone (315) 785-7000

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1932495876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ST STE 106",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014071",
            "telephone_number": "315-786-2000",
            "fax_number": "315-786-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ST STE 106",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014071",
            "telephone_number": "315-786-2000",
            "fax_number": "315-786-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "CHRISTINE",
        "middle_name": "CLARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336832-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.