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MICHAEL LAMAR KUKULKA
NPI 1356990915
Nurse Practitioner - Family in Bloomington, IN

Active since September 06, 2019PECOS EnrolledAccepts Medicare Assignment
1355 W BLOOMFIELD RD STE 3, BLOOMINGTON, IN 47403(812) 200-2789 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2022, Sep 6, 2019 (2 updates tracked since 2019).

About Michael Lamar Kukulka NPPES

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

MICHAEL LAMAR KUKULKA (NPI 1356990915) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71009326A) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomington, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356990915
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL LAMAR KUKULKA
Location Address1355 W BLOOMFIELD RD STE 3Bloomington, IN 47403-2051
Mailing Address2602 Glacier StAnchorage, AK 99508-3772 · (907) 843-1664
Phone(812) 200-2789
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 6, 2019
Last NPPES UpdateAugust 2, 20232 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
✔ NPI 1356990915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IN · 71009326A✔ Licensed in AK · 195749
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 71009326A (IN)
1355 W BLOOMFIELD RD STE 3, Bloomington, IN 47403
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Secondary Practice Location 1

Location 1123 S Franklin RdBloomington, IN 47404-5296 · Phone (812) 778-3116

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

Michael Lamar Kukulka 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 ID4385075258
PECOS Enrollment IDI20200508000813, I20240129002585
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
25 services12 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
22 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

MELANIE ADAMS
Counselor (Mental Health)
1355 W BLOOMFIELD RD STE 3
BLOOMINGTON, IN 47403
Monroe County (812) 200-2789

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 Michael Kukulka's NPI number?

The NPI number for Michael Kukulka is 1356990915. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Michael Kukulka located?

Michael Kukulka practices at 1355 W Bloomfield Rd Ste 3, Bloomington, IN 47403. The listed phone number is (812) 200-2789.

What is Michael Kukulka's specialty?

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

Is Michael Kukulka enrolled in Medicare?

Yes. Michael Kukulka 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 Michael Kukulka was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.