Individual provider Active NPI

Olivia Jane Kukura

  • Physician Assistant
  • Lakewood, CO
National Provider Identifier
1275499311
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0009576 Issued in CO
Practice address
12600 W Colfax Ave
Lakewood, CO 80215-3733
Phone
(303) 993-1330
NPI assigned
Jan 2, 2026
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0009576 CO Primary

Addresses

Primary practice location

12600 W Colfax Ave
Lakewood, CO 80215-3733

Mailing address

12600 W Colfax Ave
Lakewood, CO 80215-3733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260216002118 CO Practitioner - Physician Assistant 7113407552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Housecalls LLCGroup PAC ID 0840212809, 124 clinicians

Practice addresses (Care Compare)

12600 W Colfax Ave
Suite B200
Lakewood, CO 80215-3736
Phone (720) 923-1250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0009576COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Housecalls LLC CurrentSince Jan 7, 2026 Accepting new patients

Locations

12600 W Colfax Ave
Ste B200
Lakewood, CO 80215
Phone (303) 459-4000

10900 W 44th Ave
Unit 200
Wheat Ridge, CO 80033
Phone (303) 379-9371

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CICGBD

Organizations & group practices 1

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 3

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": "1767312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1275499311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 W COLFAX AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 W COLFAX AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153733",
            "telephone_number": "303-993-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKURA",
        "first_name": "OLIVIA",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0009576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.