Active NPI
Natalie Kukucka, CNM
- Advanced Practice Midwife
- Somerset, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- MW010458
- Practice address
- 600 Aberdeen Dr
Somerset, PA 15501-1737 - Phone
- (814) 445-3535
- NPI assigned
- Sep 8, 2016
- Last updated
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 616 | NC | MD | Acupuncturist |
| MW010458 | PA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Memorial Medical Center LLC | Current | Accepting new patients | |
| DLP Conemaugh Memorial Medical Center LLC | Current | Accepting new patients | |
| DLP Conemaugh Memorial Medical Center LLC | Current | 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
- 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.
-
dba Conemaugh Physician Group Cresson
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Family Medicine Physician
- Johnstown, PA
- NPI 1669873881
-
- Certified Registered Nurse Anesthetist
- Johnstown, PA
- NPI 1649671348
-
dba Conemaugh Diabetes Institute
- Registered Dietitian
- Johnstown, PA
- NPI 1760154975
-
- Pediatrics Physician
- Johnstown, PA
- NPI 1184025876
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
-
dba CHI Paul A. Rollins, MD
- Plastic Surgery Physician
- Johnstown, PA
- NPI 1073516720
-
dba Conemaugh Memorial Medical Center
- General Acute Care Hospital
- Johnstown, PA
- NPI 1801897038
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conemaugh Memorial Medical Center
- General Acute Care Hospital
- Johnstown, PA
- NPI 1801897038
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.