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DR. NATALIE ANNA KUKULKA MD
NPI 1639630528
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT

Active since March 25, 2019PECOS Enrolled
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1000 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2025, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Natalie Anna Kukulka Md NPPES

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

DR. NATALIE ANNA KUKULKA MD (NPI 1639630528) is an individual neurology with special qualifications in child neurology provider in Salt Lake City, Utah, licensed in Utah (14236899-1205) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639630528
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameDR. NATALIE ANNA KUKULKACredential: MD
Location Address81 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1125
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Phone(801) 662-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1639630528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in UT · 14236899-1205
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 14236899-1205 (UT)
81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Natalie Anna Kukulka Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527501949
PECOS Enrollment IDI20260512003462
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 Reassignment

Medicare enrollment records show Natalie Kukulka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Pediatric Services
Same address
Pediatrics
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1568826055 (801) 587-6336

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 84113 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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 20

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

DR. THOMAS PATRICK CURTIN M.D.
Anesthesiology
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5700
MELISSA ANN WRIGHT MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 213-3599
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Pediatrics (Pediatric Allergy/Immunology)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-6336
LAURA R GARCIA GODOY MD
Hospitalist
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 581-7818
JESSICA NIELSEN FNP
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SLC, UT 84113
Salt Lake County (801) 587-2042
ANA MARIA PEREZ LCSW
Social Worker (Clinical)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
ADDISON DAY APRN
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ELIZABETH QIUFENG ANDERSON MD
Student in an Organized Health Care Education/Training Program
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5700

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 Natalie Kukulka's NPI number?

The NPI number for Natalie Kukulka is 1639630528. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Natalie Kukulka located?

Natalie Kukulka practices at 81 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-1000.

What is Natalie Kukulka's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Natalie Kukulka enrolled in Medicare?

Yes. Natalie Kukulka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Natalie Kukulka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natalie Kukulka reassigns Medicare benefits to University Of Utah Pediatric Services (Salt Lake City, UT). The 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 Natalie Kukulka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Natalie Kukulka accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Natalie Kukulka 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 Natalie Kukulka was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.