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

Nicole Buckingham, APRN-CNP

Individual provider Oncology Clinical Nurse Specialist · NPI 1053906156

Nicole Buckingham, APRN-CNP is a Nurse Practitioner in Beavercreek, Ohio. Graduated from University of Cincinnati College of Medicine in 2020, 6 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3535 Pentagon Blvd Ste 400
Beavercreek, OH 45431-1705
Phone: (855) 500-2873
Fax: (937) 490-2267
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 W Main St Ste 103, Troy, OH 45373-3384 — (855) 500-2873

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN.CNP.0028465 (OH)
Oncology Clinical Nurse Specialist Taxonomy 364SX0200X · Licence APRN.CNP.0028465 (OH)

Record details

NPI number1053906156
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedMarch 2, 2021
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Beavercreek