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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE MARIE KUCERA D.O.
NPI 1083955108
Pediatrics in Springfield, MO

Active since March 14, 2013
1720 W GRAND ST STE B, SPRINGFIELD, MO 65802(417) 831-0150(417) 863-1936 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 3, 2026, Aug 18, 2018 (2 updates tracked since 2018).

About Nicole Marie Kucera D.o. NPPES

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

NICOLE MARIE KUCERA D.O. (NPI 1083955108) is an individual pediatrics provider in Springfield, Missouri, licensed in Missouri (2016025648) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1083955108
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICOLE MARIE KUCERACredential: D.O.
Location Address1720 W GRAND ST STE BSpringfield, MO 65802-4802
Mailing Address440 E Tampa StSpringfield, MO 65806-1131 · (417) 831-0150 · Fax (417) 863-1936
Phone(417) 831-0150
Fax(417) 863-1936
Sole ProprietorNo
Enumeration DateMarch 14, 2013
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1083955108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2016025648
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1720 W GRAND ST STE B, Springfield, MO 65802
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Other Identifiers 1

Medicaid500137105MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

SHARYN SALKIL FNP
Nurse Practitioner (Family)
1720 W GRAND ST STE B
SPRINGFIELD, MO 65802
Greene County (417) 831-0150
JANCEE LASHLEY JOHNSON DDS
Dentist
1720 W GRAND ST STE B
SPRINGFIELD, MO 65802
Greene County (417) 831-0150
ADVOCATES FOR A HEALTHY COMMUNITY, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1720 W GRAND ST STE B
SPRINGFIELD, MO 65802
Greene County (417) 831-0150
AMY NICOLE MATZ NP-C
Nurse Practitioner (Family)
1720 W GRAND ST STE B
SPRINGFIELD, MO 65802
Greene County (417) 872-7761
ALLYSSA MYERS OTR/L
Occupational Therapist
1720 W GRAND ST STE B
SPRINGFIELD, MO 65802
Greene County (417) 831-0150
COURTNEY BARR OT
Occupational Therapist
1720 W GRAND ST STE B
SPRINGFIELD, MO 65802
Greene County (417) 831-0150
CINDRA E. TULL FNP
Nurse Practitioner (Family)
1720 W GRAND ST STE B
SPRINGFIELD, MO 65802
Greene County (417) 831-0150
ELIZABETH HARPER JUANILLO MD
Obstetrics & Gynecology
1720 W GRAND ST STE B
SPRINGFIELD, MO 65802
Greene County (417) 831-0150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Kucera's NPI number?

The NPI number for Nicole Kucera is 1083955108. It was assigned to this individual provider in the NPPES registry on March 14, 2013.

Where is Nicole Kucera located?

Nicole Kucera practices at 1720 W Grand St Ste B, Springfield, MO 65802. The listed phone number is (417) 831-0150.

What is Nicole Kucera's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Nicole Kucera accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Nicole Kucera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Kucera was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.