Nicole Marie Kucera, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2016025648 Issued in MO

Practice address

1720 W Grand St Ste B
Springfield, MO 65802-4802

Phone

(417) 831-0150

Fax

(417) 863-1936

NPI assigned

Mar 14, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nkucera694483@direct.ochin.org
• Direct secure messaging: nicole.kucera.p1@direct.jordanvalley.nextgenshare.com

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.

• Advocates for a Healthy Community, Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1861590861
  NPD (past)
• Lester E Cox Medical Centers

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1093740128
  NPD (past)
• Mercy Hospital Springfield

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1578504056
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1083955108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E TAMPA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061131",
            "telephone_number": "417-831-0150",
            "fax_number": "417-863-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W GRAND ST STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658024802",
            "telephone_number": "417-831-0150",
            "fax_number": "417-863-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2016025648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500137105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily D. Kruse, FNP
• KS & K,LLC
• Matthew Hungerford Kuba
• Ashley L Kubik, NP-C
• Victoria D. Kubik, M.D.
• Courtney K Kuepfert, MS, LPC
• Matthew D Kufahl, D.D.S.
• Carrie L. Kugler, PA-C
• Sarah Kuhlman, M.D.
• Morgan Leigh Kuhn, PA-C

• Pediatrics Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.