MR. JASON NILES KUKAS (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1437876760

MR. JASON NILES KUKAS (PMHNP-BC) is a healthcare provider. based in Bermuda dunes, California. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 95023040 (CA). The NPI Number for MR. JASON NILES KUKAS (PMHNP-BC) is 1437876760

Main info

Male
4 Years Of Experience
Name
MR. JASON NILES KUKAS (PMHNP-BC)
NPI
1437876760
Phone
(760) 989-7608
Address
41500 WASHINGTON ST APT E224
Enumeration Date
26 October 2022
Last Update Date
26 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7606747432
Graduation Year
2022 (4 years ago)
PAC ID
6608246426
Group Practice PAC ID
4587642467
Professional Enrollment ID
I20230111002711
Address ID
CA922116105PA41990STXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MR. JASON NILES KUKAS (PMHNP-BC)

  • 41500 WASHINGTON ST APT E224

    BERMUDA DUNES, CA 922039516

    Phone: (760) 989-7608

    Type: Mailing

  • 954 W FOOTHILL BLVD STE A

    UPLAND, CA 917863782

    Phone: (909) 846-4222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 134 Open Payments records for all available years, with a total value of $3,718.

Total Amount is formed as General ($3,718) + Research ($0) + Ownership ($0) = $3,718.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alkermes, Inc. ($561).

Total Amount

$3,718

General + Research + Ownership

Payments

134

Total payment records

General Amount

$3,718

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230111002711INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587642467View full group profile
NameSpecialtyState
Family PracticeCA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Family PracticeCA
Family PracticeCA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA

Reviews

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Frequently asked questions

How do payers reference MR. JASON NILES KUKAS (PMHNP-BC)?
For MR. JASON NILES KUKAS (PMHNP-BC), use NPI 1437876760 as the unique 10-digit identifier.
Is there an active status for MR. JASON NILES KUKAS (PMHNP-BC)?
For scheduling context, MR. JASON NILES KUKAS (PMHNP-BC) is shown as active in the registry.
How would a patient describe MR. JASON NILES KUKAS (PMHNP-BC)'s focus?
For MR. JASON NILES KUKAS (PMHNP-BC), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in California is MR. JASON NILES KUKAS (PMHNP-BC) registered?
Use Bermuda Dunes, California as the headline location for MR. JASON NILES KUKAS (PMHNP-BC) here.
Can I trust this NPI listing for MR. JASON NILES KUKAS (PMHNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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