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

Lisa Marie Buckley, NP

Individual provider Nurse Practitioner · NPI 1679959480

Lisa Marie Buckley, NP is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2015, 11 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
11
Licensed in
MA
In the registry since
2015
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 441-8270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Hospital Rd, Leominster, MA 01453-2253 — (978) 466-2105

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN283523 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN283523 (MA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN283523 (MA)

Record details

NPI number1679959480
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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