Active NPI
Jennifer Jo Kucifer, APRN- NP-BC
- Nurse Practitioner
- Cedar City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9867404-4405
- Practice address
- 655 W 200 N Ste 100
Cedar City, UT 84720-2467 - Phone
- (435) 263-0253
- NPI assigned
- Nov 22, 2021
- Last updated
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9867404-4405 | WI | |
| Nurse Practitioner | 363L00000X | 9867404-4405 | UT | Primary |
Addresses
Primary practice location
655 W 200 N Ste 100
Cedar City, UT 84720-2467
Mailing address
655 W 200 N Ste 100
Cedar City, UT 84720-2467
Phone (435) 263-0253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9867404-4405 | UT | MD | Nurse Practitioner |
| 9867404-4405 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Utah Gastroenterology | Current | Accepting new patients | |
| Ihc Health Services Inc | Nurse Practitioner | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Nurse Practitioner | Current | Accepting new patients |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients |
Locations
620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057
1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041
6360 S 3000 E
Ste 220
Salt Lake Cty, UT 84121
Phone (801) 944-3195
6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149
Interoperability endpoints
- https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
Nurse Practitioner
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1871689562
-
dba St George Regional Hospital Physicians
- Multi-Specialty Clinic/Center
- St George, UT
- NPI 1437169497
Nurse Practitioner
-
dba East Millcreek ExpressCare
- Community Health Registered Nurse
- Salt Lake City, UT
- NPI 1437289386
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Gastroenterology Physician
- Sandy, UT
- NPI 1124837646
-
- Gastroenterology Physician
- Bountiful, UT
- NPI 1457393761
-
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1972510717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1184381303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 W 200 N STE 100",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847202467",
"telephone_number": "435-263-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W 200 N STE 100",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847202467",
"telephone_number": "435-263-0253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCIFER",
"first_name": "JENNIFER",
"middle_name": "JO",
"credential": "APRN- NP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "9867404-4405",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "9867404-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.