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

Q: 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.

Q: What is Donna Kicin's specialty?

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

Q: 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 2 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.

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: August 02, 2026.

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

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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

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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

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.

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.

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 2 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.