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DONNA L KICIN AGPCNP-BC
NPI 1245032432
Nurse Practitioner - Gerontology in West Jordan, UT

Active since March 26, 2025PECOS EnrolledAccepts Medicare Assignment
1755 W 8760 S, WEST JORDAN, UT 84088(385) 267-3951(385) 304-4749 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2026, Apr 8, 2026, Jan 29, 2026 and 2 more (5 updates tracked since 2025).

About Donna L Kicin Agpcnp-bc NPPES

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

DONNA L KICIN AGPCNP-BC (NPI 1245032432) is an individual gerontology provider in West Jordan, Utah, licensed in Utah (10496682-4405) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1245032432
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameDONNA L KICINCredential: AGPCNP-BC
Location Address1755 W 8760 SWest Jordan, UT 84088-9397
Mailing Address1755 W 8760 SWest Jordan, UT 84088-9397 · (385) 267-3951 · Fax (385) 304-4749
Phone(385) 267-3951
Fax(385) 304-4749
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 26, 2025
Last NPPES UpdateMay 28, 20265 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1245032432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in UT · 10496682-4405
1755 W 8760 S, West Jordan, UT 84088
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donna L Kicin Agpcnp-bc 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 ID4486138815
PECOS Enrollment IDI20260324001271
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Donna Kicin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Np 360 Care
7.7 mi
Nurse Practitioner
1755 W 8760 S
West Jordan, UT 84088
  • Reassigned Medicare billing, Utah enrollment
NPI 1356283121 (801) 930-0333
Integrated Clinix
22 mi
Multi-Specialty
4337 W OXFORD ST
Cedar Hills, UT 84062
  • Reassigned Medicare billing, Utah enrollment
  • 14 clinicians in this Medicare group
NPI 1659931384 (801) 692-3395

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 84088 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES

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

NP 360 CARE
Nurse Practitioner
1755 W 8760 S
WEST JORDAN, UT 84088
Salt Lake County (801) 930-0333

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 Donna Kicin's NPI number?

The NPI number for Donna Kicin is 1245032432. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Donna Kicin located?

Donna Kicin practices at 1755 W 8760 S, West Jordan, UT 84088. The listed phone number is (385) 267-3951.

What is Donna Kicin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Donna Kicin enrolled in Medicare?

Yes. Donna Kicin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Donna Kicin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Kicin reassigns Medicare benefits to 2 organizations: Np 360 Care (West Jordan, UT) and Integrated Clinix (Cedar Hills, UT). 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 Donna Kicin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donna Kicin was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.