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Provider Profile

Shanice S. Kukuck, APNP

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At a glance

About Shanice Kukuck

Shanice S. Kukuck, APNP is a nurse practitioner — pediatrics based in West Bend, WI. Shanice is also listed as specializing in nurse practitioner — family. According to Medicare claims data, Shanice cared for 133 Medicare patients across 146 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. The provider's National Provider Identifier (NPI) is 1063151330.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2024

Credentials & Licensing

WI licenceAs reported to the NPI registry
No. 11997-33As reported
IL licenceAs reported to the NPI registry
No. 209032039As reported
NPINational Provider Identifier
1063151330Issued 2022

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Shanice S. Kukuck?

Shanice S. Kukuck is a nurse practitioner in West Bend, WI. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Pediatrics”.

NPI registry

What is Shanice S. Kukuck's address?

Shanice S. Kukuck is listed at 1700 Paradise Dr, West Bend, WI 53095. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Shanice S. Kukuck?

The number on file is (262) 334-3451. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Shanice S. Kukuck's NPI number?

Shanice S. Kukuck's National Provider Identifier is 1063151330. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Shanice S. Kukuck train?

Shanice S. Kukuck attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How long has Shanice S. Kukuck been practicing?

Shanice S. Kukuck has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

What procedures does Shanice S. Kukuck perform?

According to Medicare billing data, Shanice S. Kukuck the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Shanice S. Kukuck confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Shanice S. Kukuck. If this is you, claiming it is free.

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