Individual provider Active NPI

Natalie Kukucka, CNM

  • Advanced Practice Midwife
  • Somerset, PA
National Provider Identifier
1194272088
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010458 Issued in PA
Practice address
600 Aberdeen Dr
Somerset, PA 15501-1737
Phone
(814) 445-3535
NPI assigned
Sep 8, 2016
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 616 NC
Advanced Practice Midwife 367A00000X MW010458 PA Primary

Addresses

Primary practice location

600 Aberdeen Dr
Somerset, PA 15501-1737

Mailing address

1420 Fern Creek Dr
Statesville, NC 28625-9376
Phone (704) 380-3722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171024002908 PA Practitioner - Certified Nurse Midwife (CNM) 8820378227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Aberdeen Dr
Suite a
Somerset, PA 15501-1737
Phone (814) 445-3535

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
616NCMDAcupuncturist
MW010458PAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Aug 29, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Aug 29, 2017 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince May 12, 2018 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Current Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince May 12, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Past Accepting new patients

Locations

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1450 Scalp Ave
Johnstown, PA 15904
Phone (814) 266-1189

600 Aberdeen Dr
#A
Somerset, PA 15501
Phone (814) 445-3535

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: nkukucka34646@direct.conemaugh.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1194272088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 FERN CREEK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259376",
            "telephone_number": "704-380-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ABERDEEN DR",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011737",
            "telephone_number": "814-445-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKUCKA",
        "first_name": "NATALIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "616",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.