JACKIE L KUCHTA DNP FNP-C BC-ADM
NPI 1053813964
Nurse Practitioner - Family in La Vista, NE

Q: What is Jackie Kuchta's NPI number?

The NPI number for Jackie Kuchta is 1053813964. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Q: What is Jackie Kuchta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Kuchta was last updated on August 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 06, 2018PECOS EnrolledAccepts Medicare Assignment

6901 S 84TH ST, LA VISTA, NE 68128(866) 389-2727 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 25, 2024, Mar 6, 2018 (2 updates tracked since 2018).

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About Jackie L Kuchta Dnp Fnp-c Bc-adm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE L KUCHTA DNP FNP-C BC-ADM (NPI 1053813964) is an individual family provider in La Vista, Nebraska, licensed in Nebraska (112433) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053813964

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACKIE L KUCHTACredential: DNP FNP-C BC-ADM

Location Address6901 S 84TH STLa Vista, NE 68128-2127

Mailing Address2800 Flatwater Dr Apt 203South Sioux City, NE 68776-5484 · (712) 635-8685 · Fax (402) 944-1450

Phone(866) 389-2727

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 6, 2018

Last NPPES UpdateAugust 29, 20252 updates tracked since enumeration

NPPES CertifiedAugust 29, 2025

✔ NPI 1053813964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NE · 112433✔ Licensed in IA · A145171

6901 S 84TH ST, La Vista, NE 68128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackie L Kuchta Dnp Fnp-c Bc-adm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143575282

PECOS Enrollment IDI20180613003416

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers55 claims55 services$187.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN E THOMAN APRN

Nurse Practitioner (Family)