Individual provider Active NPI

Nicholas Earl Stucki, A.P.R.N.

  • Nurse Practitioner
  • Saint George, UT
National Provider Identifier
1679021067
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8270876-4405 Issued in UT
Practice address
617 E Riverside Dr Ste 301
Saint George, UT 84790-8722
Phone
(435) 216-7000
Fax
(425) 216-7001
NPI assigned
Sep 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8270876-4405 UT Primary

Addresses

Primary practice location

617 E Riverside Dr Ste 301
Saint George, UT 84790-8722

Mailing address

617 E Riverside Dr Ste 301
Saint George, UT 84790-8722
Phone (435) 216-7000

Other practice location 1

340 Falcon Ridge Pkwy Ste 603
Mesquite, NV 89027-8852
Phone (702) 346-5037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 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
I20161012000683 UT Practitioner - Nurse Practitioner 9335437086 Reassigns benefits to 1 organization
I20170524002868 NV Practitioner - Nurse Practitioner 9335437086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Pain Specialists LLCGroup PAC ID 3072683051, 18 clinicians

Practice addresses (Care Compare)

340 Falcon Ridge Pkwy
Suite 603
Mesquite, NV 89027-8852
Phone (702) 346-5037

617 E Riverside Dr
Suite 301
Saint George, UT 84790-8722
Phone (435) 216-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.53 of 100Reported as group
Quality
59.7
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8270876-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Skin and Cancer LLC Past Accepting new patients
Huntsman West Spine LLC PastSince Apr 6, 2023 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1679021067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR STE 301",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908722",
            "telephone_number": "435-216-7000",
            "fax_number": "425-216-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR STE 301",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908722",
            "telephone_number": "435-216-7000",
            "fax_number": "425-216-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Falcon Ridge Pkwy Ste 603",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890278852",
            "country_code": "US",
            "telephone_number": "702-346-5037",
            "fax_number": "702-346-5036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCKI",
        "first_name": "NICHOLAS",
        "middle_name": "EARL",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "8270876-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.