Individual provider Active NPI

Debra Ann Kulchycki, ARNP-C

  • Adult Health Nurse Practitioner
  • Sebastian, FL
National Provider Identifier
1669771960
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2590662 Issued in FL
Practice address
13100 US Highway 1
Sebastian, FL 32958-3735
Phone
(772) 581-8900
NPI assigned
Mar 25, 2011
Last updated
Oct 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2590662 FL Primary

Addresses

Primary practice location

13100 US Highway 1
Sebastian, FL 32958-3735

Mailing address

13100 US Highway 1
Sebastian, FL 32958-3735
Phone (772) 581-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120913000634 FL Practitioner - Nurse Practitioner 7517115660 Reassigns benefits to 1 organization
I20260313003100 WI Practitioner - Nurse Practitioner 7517115660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricoche Integrated Health IncGroup PAC ID 0941625412, 2 clinicians

Practice addresses (Care Compare)

1855 W Hibiscus Blvd
Melbourne, FL 32901-2622
Phone (321) 802-4521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2590662FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Mar 1, 2026 Accepting new patients
Tricoche Integrated Health Inc CurrentSince Nov 17, 2022 Accepting new patients
Michael M Tuchman MD PA PastSince Jul 15, 2013 Accepting new patients
Swallowing Diagnostics Inc PastSince Aug 9, 2005 Accepting new patients
Sebastian Hma Physician Management LLC Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1855 W Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 265-4409

250 E Wisconsin Ave
Fl 18
Milwaukee, WI 53202
Phone (303) 748-5781

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1669771960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583735",
            "telephone_number": "772-581-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583735",
            "telephone_number": "772-581-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULCHYCKI",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2590662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.