Individual provider Active NPI

Melissa Marie Buckner, FNP-BC

  • Family Nurse Practitioner
  • Bluefield, VA
National Provider Identifier
1992224364
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175588 Issued in VA
Practice address
725 S College Ave
Bluefield, VA 24605-1640
Phone
(276) 326-3376
Fax
(276) 326-3046
NPI assigned
Sep 16, 2017
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024175588 VA Primary
Family Nurse Practitioner 363LF0000X APRN81104-FNP-BC WV

Addresses

Primary practice location

725 S College Ave
Bluefield, VA 24605-1640

Mailing address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291

Other practice location 1

4130 Robert C Byrd Dr
Beckley, WV 25801-2206
Phone (304) 425-9435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180124002472 WV Practitioner - Nurse Practitioner 5193084978 Reassigns benefits to 2 organizations
I20180124003203 VA Practitioner - Nurse Practitioner 5193084978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
JC Edwards School of Medicine, Marshall University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of Bluefield PLLCGroup PAC ID 6800291360, 12 clinicians

Practice addresses (Care Compare)

4130 Robert C Byrd Dr
Beckley, WV 25801-2206
Phone (304) 255-9434

725 S College Ave
Bluefield, VA 24605-1640
Phone (276) 326-3376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN81104-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Derm One, PLLC CurrentSince Nov 6, 2017 Accepting new patients
Dermatology Clinics of Southwest Virginias PLLC Past Accepting new patients

Locations

725 S College Ave
Bluefield, VA 24605
Phone (276) 228-2022

1804 E Main St
#B
Radford, VA 24141
Phone (540) 633-3015

1804B E Main St
Radford, VA 24141
Phone (540) 633-3015

150 Peppers Ferry Rd
Wytheville, VA 24382
Phone (276) 228-2022

4130 Robert C Byrd Dr
Beckley, WV 25801
Phone (304) 252-3900

497 Mall Rd
Unit D
Oak Hill, WV 25901
Phone (304) 465-2052

296 New Hope Rd
Princeton, WV 24740
Phone (304) 431-1101

296 New Hope Rd
Ste 1
Princeton, WV 24740
Phone (304) 425-9448

Organizations & group practices 3

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": "1505520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1992224364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051640",
            "telephone_number": "276-326-3376",
            "fax_number": "276-326-3046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 Robert C Byrd Dr",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012206",
            "country_code": "US",
            "telephone_number": "304-425-9435",
            "fax_number": "304-255-9435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-16",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175588",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN81104-FNP-BC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, VA

Sources for this page

Verify at the official NPI Registry.