JOSIPA KUKUCKA CRNA
NPI 1972964476
Nurse Anesthetist, Certified Registered in Fayetteville, GA

Active since March 10, 2016Accepts Medicare Assignment
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214(770) 719-7000 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2025, Jan 11, 2023, Jan 13, 2022 (3 updates tracked since 2022).

About Josipa Kukucka Crna NPPES

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

JOSIPA KUKUCKA CRNA (NPI 1972964476) is an individual nurse anesthetist, certified registered in Fayetteville, Georgia, licensed in Texas (AP129989) and active in the NPI registry since March 2016. She is affiliated with Piedmont Fayette Hospital, maintains 3 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972964476
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJOSIPA KUKUCKACredential: CRNA
Location Address1255 HIGHWAY 54 WFayetteville, GA 30214-4526
Mailing Address1101 Bates AveHouston, TX 77030-2607 · (137) 981-3007
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 10, 2016
Last NPPES UpdateJanuary 3, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1972964476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in TX · AP129989✔ Licensed in CO · RN.1617919
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1255 HIGHWAY 54 W, Fayetteville, GA 30214

Secondary Practice Locations 3

Location 12014 Dennis StHouston, TX 77004-1322 · Phone (678) 877-4246
Location 22401 S 31st StTemple, TX 76508-1322 · Phone (254) 724-2111
Location 31101 Bates AveHouston, TX 77030-2607 · Phone (137) 981-3007

Accepted Insurance

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

Josipa Kukucka Crna 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 ID8426356627
PECOS Enrollment IDI20221008000028

Medicare Billing Reassignments

17

Medicare enrollment records show Josipa Kukucka reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
3896 PRINCETON LAKES WAY
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
Internal Medicine
3885 PRINCETON LAKES WAY SW, SUITE 300
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
Anesthesiology
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 713 clinicians in this Medicare group
Anesthesiology
1984 PEACHTREE ROAD NW, SUITE 515
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 441 clinicians in this Medicare group
Pain Medicine
892 LEGACY PARK DR
Lawrenceville, GA 30043
  • Reassigned Medicare billing, Georgia enrollment
  • 76 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
625 S ENOTA DR NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 28 clinicians in this Medicare group
Anesthesiology
134 BUSINESS PARK DR
Virginia Beach, VA 23462
  • Reassigned Medicare billing, Virginia enrollment
  • 321 clinicians in this Medicare group
Anesthesiology
333 N TEXAS AVE
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 403 clinicians in this Medicare group
Anesthesiology
333 N TEXAS AVE STE 1000
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 543 clinicians in this Medicare group
Anesthesiology
25312 INTERSTATE 45 N
Spring, TX 77386
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

Emergency Medicine
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Anesthesiologist Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Physical Therapist
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Anesthesiology
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Anesthesiologist Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Emergency Medicine
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Nurse Anesthetist, Certified Registered
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214

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 Josipa Kukucka's NPI number?

The NPI number for Josipa Kukucka is 1972964476. It was assigned to this individual provider in the NPPES registry on March 10, 2016.

Where is Josipa Kukucka located?

Josipa Kukucka practices at 1255 Highway 54 W, Fayetteville, GA 30214. The listed phone number is (770) 719-7000.

What is Josipa Kukucka's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Josipa Kukucka enrolled in Medicare?

Yes. Josipa 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.

Which organizations bill Medicare for Josipa Kukucka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josipa Kukucka reassigns Medicare benefits to 17 organizations: Grady Memorial Hospital Corporation (Atlanta, GA), Wellstar Medical Group, LLC (Atlanta, GA), Piedmont Anesthesia LLC (Stockbridge, GA), Piedmont Anesthesia Associates, L.L.C (Atlanta, GA), Sleep Ezzy (Lawrenceville, GA) and 12 more organizations, listed in the Medicare section above. 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 Josipa Kukucka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Josipa Kukucka accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Texas, Oscar Health and UnitedHealthcare list Josipa 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.

Is Josipa Kukucka affiliated with any hospitals?

According to CMS data, Josipa Kukucka is affiliated with Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Josipa Kukucka was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.