AMY M KUKUCKA NURSE PRACTITIONER
NPI 1588175392
Nurse Practitioner in Fairmont, WV

Q: What is Amy Kukucka's NPI number?

The NPI number for Amy Kukucka is 1588175392. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Q: What is Amy Kukucka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Kukucka was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 October 19, 2017PECOS EnrolledAccepts Medicare Assignment

1543 COUNTRY CLUB RD # A, FAIRMONT, WV 26554(304) 363-2273 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 5, 2025, Apr 4, 2023, Oct 24, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Amy M Kukucka Nurse Practitioner NPPES

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

AMY M KUKUCKA NURSE PRACTITIONER (NPI 1588175392) is an individual nurse practitioner in Fairmont, West Virginia, licensed in West Virginia (123735) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Delaware, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1588175392

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMY M KUKUCKACredential: NURSE PRACTITIONER

Location Address1543 COUNTRY CLUB RD # AFairmont, WV 26554-1306

Mailing Address1543 Country Club Rd # AFairmont, WV 26554-1306 · (304) 363-2273

Phone(304) 363-2273

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 19, 2017

Last NPPES UpdateAugust 28, 20254 updates tracked since enumeration

NPPES CertifiedAugust 28, 2025

✔ NPI 1588175392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in WV · 123735✔ Licensed in OH · APRN.CNP.021822

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1543 COUNTRY CLUB RD # A, Fairmont, WV 26554

Open in Google Maps ↗

Secondary Practice Location 1

Location 11100 Sunbury RdDelaware, OH 43015-6040 · Phone (740) 417-8562

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Amy M Kukucka Nurse Practitioner 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 ID4880950831

PECOS Enrollment IDI20171108001881, I20250829001165

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

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.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26554 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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 3

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

SHEILLA EACHUS CRNP

Nurse Practitioner (Family)

1543 COUNTRY CLUB RD # A
FAIRMONT, WV 26554

Marion County (304) 363-2273

MRS. AMANDA DANIELLE POLING APRN FNP-C

Nurse Practitioner (Family)

1543 COUNTRY CLUB RD # A
FAIRMONT, WV 26554

Marion County (304) 363-2273

KATHERINE O'BRYAN FNP-BC

Nurse Practitioner (Family)

1543 COUNTRY CLUB RD # A
FAIRMONT, WV 26554

Marion County (859) 291-4800

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 Amy Kukucka's NPI number?

The NPI number for Amy Kukucka is 1588175392. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Amy Kukucka located?

Amy Kukucka practices at 1543 Country Club Rd # A, Fairmont, WV 26554. The listed phone number is (304) 363-2273.

What is Amy Kukucka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amy Kukucka enrolled in Medicare?

Yes. Amy Kukucka 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.

What insurance does Amy Kukucka accept?

Health plans from CareSource list Amy Kukucka 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 Amy Kukucka was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.