Individual provider Active NPI

Jennifer Jo Kucifer, APRN- NP-BC

  • Nurse Practitioner
  • Cedar City, UT
National Provider Identifier
1184381303
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9867404-4405 Issued in UT
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621003096 UT Practitioner - Nurse Practitioner 4385023324 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9867404-4405UTMDNurse Practitioner
9867404-4405WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Apr 30, 2023 Accepting new patients
Utah Gastroenterology CurrentSince Jun 20, 2022 Accepting new patients
Ihc Health Services Inc Nurse Practitioner CurrentSince Apr 30, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 30, 2023 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 CurrentSince Jun 20, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.