Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob D Buckley, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1598036865

Jacob D Buckley, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Huntsville, Alabama. Qualified in 2011, 15 years ago. Practices with Physynergy LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2012
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone: (256) 429-5074
Fax: (256) 429-4674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence ARNP9257640 (FL)

Record details

NPI number1598036865
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 19, 2012
Last updated in NPPESJanuary 17, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Physynergy Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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