Donna L Kicin, AGPCNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

10496682-4405 Issued in UT

Practice address

1755 W 8760 S
West Jordan, UT 84088-9397

Phone

(385) 267-3951

Fax

(385) 304-4749

NPI assigned

Mar 26, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated ClinixGroup PAC ID 0941636872, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ability Home Health Home health agency, South Jordan, UT, CCN 467238

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integrated Clinix

  • Multi-Specialty Clinic/Center
  • Cedar Hills, UT
  • NPI 1659931384
  Medicare reassignment Care Compare group
• NP 360 Care

  • Nurse Practitioner
  • West Jordan, UT
  • NPI 1356283121
  NPD Authorized official

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

• Chase Healthcare

  • Home Health Agency
  • South Jordan, UT
  • NPI 1518558873
  Care Compare affiliation

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1245032432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 W 8760 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889397",
            "telephone_number": "385-267-3951",
            "fax_number": "385-304-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 W 8760 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889397",
            "telephone_number": "385-267-3951",
            "fax_number": "385-304-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICIN",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "UT",
            "license": "10496682-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Buchi MD a P C
• Kathy Jean Kercher, N.P.
• Kerry a Okelberry O D P C
• Jordan Key, PA-C
• Armen Khachatryan, MD
• Kidney and Internal Medicine
• Kids Behavioral Health of Alaska, Inc.
• Kids Behavioral Health of Utah
• Kids Behavioral Health of Utah, Inc
• Kim Chen Anesthesia Services Inc

• Gerontology Nurse Practitioner in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Gerontology Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.

Verify at the official NPI Registry.