Marcia Rene Kucera, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60670980 Issued in WA

Practice address

1420 Roosevelt Ave Ste 4
Mount Vernon, WA 98273-2687

Phone

(360) 899-4086

Fax

(360) 899-4124

NPI assigned

Aug 30, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cascade Clinic Walk in and Primary Care LLC

  • Primary Care Clinic/Center
  • Mount Vernon, WA
  • NPI 1609121854
  Medicare reassignment NPD
• Premier Diabetes Care, PLLC

  • Adult Health Nurse Practitioner
  • Arlington, WA
  • NPI 1235696568
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003362088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 APACHE DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733752",
            "telephone_number": "360-941-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 ROOSEVELT AVE STE 4",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732687",
            "telephone_number": "360-899-4086",
            "fax_number": "360-899-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "MARCIA",
        "middle_name": "RENE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60670980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "371117",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelina Kravchuk, PA-C
• James Oren Krell, RPH
• Jessica Kresl, OTR/L
• Noreen Lynn Krymski
• Chia-Jen Kuan, M.D., PHD
• Kulshan Oral Surgery
• Kulshan Pediatric Dentistry
• Emily Kunz-Brockman, DO
• Lou Kupka-Schutt, PHD, RD
• Tanya R Kutz, LMP

• Family Nurse Practitioner in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.