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

Nicole Buckley

Individual provider Family Nurse Practitioner · NPI 1033570346

Nicole Buckley is a Nurse Practitioner in Lakewood, Ohio. Qualified in 2015, 11 years ago. Practices with Minuteclinic Diagnostic of Ohio LLC, a 191-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2016
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Practice location Address checks out

11706 Clifton Blvd
Lakewood, OH 44107-2018
Phone: (216) 228-9296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence COA.18765-NP (OH)

Record details

NPI number1033570346
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2016
Last updated in NPPESMarch 14, 2016
Mailing address16514 Munn Rd, Cleveland, OH 44111-2065

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 Minuteclinic Diagnostic Of Ohio Llc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lakewood