Kendra S Ulicki, ANRP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

116462 Issued in IA

Practice address

730 W 3Rd St
Garner, IA 50438-1242

Phone

(641) 923-2651

Fax

(641) 923-2652

NPI assigned

Jun 24, 2013

Last updated

Jun 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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 IA

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
• Humboldt County Memorial Hospital Hospital, Humboldt, IA, CCN 161334
• Stewart Memorial Community Hospital Hospital, Lake City, IA, CCN 161350
• Palo Alto County Hospital Hospital, Emmetsburg, IA, CCN 161357
• Pocahontas Community Hospital Hospital, Pocahontas, IA, CCN 161305

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kulicki868621@direct.unitypoint.org

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.

• Trinity Regional Medical Center

  dba UnityPoint Clinic

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156
  Medicare reassignment Care Compare group NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)

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

• Humboldt County Memorial Hospital

  • Critical Access Hospital
  • Humboldt, IA
  • NPI 1194702977
  Care Compare affiliation
• Palo Alto County Hospital

  • Critical Access Hospital
  • Emmetsburg, IA
  • NPI 1790793651
  Care Compare affiliation
• Pocahontas Community Hospital

  • Critical Access Hospital
  • Pocahontas, IA
  • NPI 1346241213
  Care Compare affiliation
• Stewart Memorial Community Hospital

  • Critical Access Hospital
  • Lake City, IA
  • NPI 1063497188
  Care Compare affiliation
• Trinity Regional Medical Center

  dba UnityPoint Health Trinity Regional Medical Center

  • General Acute Care Hospital
  • Fort Dodge, IA
  • NPI 1487759858
  Care Compare affiliation

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1275972283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 1ST ST NW",
            "city": "BRITT",
            "state": "IA",
            "postal_code": "504231227",
            "telephone_number": "641-843-5000",
            "fax_number": "641-843-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W 3RD ST",
            "city": "GARNER",
            "state": "IA",
            "postal_code": "504381242",
            "telephone_number": "641-923-2651",
            "fax_number": "641-923-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULICKI",
        "first_name": "KENDRA",
        "middle_name": "S",
        "credential": "ANRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "116462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Jo Scott Marker, OD
• Leslie Susan Sloan, MSN, ARNP, PMHNP-BC
• Jamie Nicole Smith, ATC
• John Lee Steenblock
• Roy A Tesene, DDS
• Alexander P Vangerpen, DDS
• Vidal Family Dentistry
• Peter L. Vidal, D.D.S
• Cassie J Wagner, NP
• Scott Bradley Wood, D.C.

• Nurse Practitioner in Garner, IA
• Providers in Garner, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.