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

Mrs. Jessica Bloom Buckley

Individual provider Registered Nurse · NPI 1396828992

Mrs. Jessica Bloom Buckley is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, West Virginia. Qualified in 2005, 21 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
21
Licensed in
WV
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone: (304) 388-4077
Fax: (304) 388-9852
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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 73554 (WV)
Registered Nurse Taxonomy 163W00000X · Licence 61450 (WV)

Record details

NPI number1396828992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charleston