JACQUELYN MICHELLE KUKULSKI DO
NPI 1215499249
Pediatrics in Munster, IN
About Jacquelyn Michelle Kukulski Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN MICHELLE KUKULSKI DO (NPI 1215499249) is an individual pediatrics provider in Munster, Indiana, licensed in Indiana (02007548A) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacquelyn Michelle Kukulski Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jacquelyn Kukulski reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St John, IN 46373
- Reassigned Medicare billing, Indiana enrollment
- 607 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 1,905 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 2,237 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacquelyn Kukulski's NPI number?
The NPI number for Jacquelyn Kukulski is 1215499249. It was assigned to this individual provider in the NPPES registry on April 1, 2019.
Where is Jacquelyn Kukulski located?
Jacquelyn Kukulski practices at 10240 Calumet Ave Fl 2, Munster, IN 46321. The listed phone number is (219) 922-9150.
What is Jacquelyn Kukulski's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jacquelyn Kukulski enrolled in Medicare?
Yes. Jacquelyn Kukulski is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacquelyn Kukulski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Kukulski reassigns Medicare benefits to 3 organizations: Community Care Network Inc (St John, IN), The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Kukulski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelyn Kukulski accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Jacquelyn Kukulski 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 Jacquelyn Kukulski was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Jacquelyn Michelle Kukulski, DO · NPI 1215499249
Pediatrics physician in Munster, Indiana. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1215499249 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 02007548A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 10240 CALUMET AVE FL 2, Munster, IN 46321-4082
- **Phone:** (219) 922-9150 · **Fax:** (219) 922-9180
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Community Care Network Inc (NPI 1457610487, St John, IN); The University Of Chicago Medical Center (NPI 1033218128, Chicago, IL); University Of Chicago (NPI 1821048786, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2025
- **Other identifiers:** Medicaid 300083601 (IN); Other 1103769274 (IN); Medicaid 390200000X (IL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1215499249) · Data from the CMS NPPES public registry.