KENDRA S ULICKI (ANRP) – Nurse Practitioner, NPI 1275972283

KENDRA S ULICKI (ANRP) is a healthcare provider. based in Garner, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ANRP. They hold a License No. 116462 (IA). The NPI Number for KENDRA S ULICKI (ANRP) is 1275972283

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA S ULICKI (ANRP)
NPI
1275972283
Phone
(641) 923-2651
Address
730 W 3RD ST
Enumeration Date
24 June 2013
Last Update Date
24 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
7012141195
Group Practice PAC ID
7315858529
Professional Enrollment ID
I20131002000680
Address ID
IA505015776FO800XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for KENDRA S ULICKI (ANRP)

  • 730 W 3RD ST

    GARNER, IA 504381242

    Phone: (641) 923-2651

    Fax: (641) 923-2652

    Type: Location

  • 532 1ST ST NW

    BRITT, IA 504231227

    Phone: (641) 843-5000

    Fax: (641) 843-5001

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-10-02

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
I20131002000680INurse PractitionerIATBD

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 50438)

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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: 7315858529View full group profile
NameSpecialtyState
-IA
Nurse PractitionerIA
D E R M A T O L O G YOH
Certified Registered Nurse Anesthetist (Crna)AL
-IA
Family PracticeIA
Family PracticeMN
Emergency MedicineIA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)IA

Reviews

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Frequently asked questions

What NPI should I save for KENDRA S ULICKI (ANRP)?
Save NPI 1275972283 if you need a stable reference for KENDRA S ULICKI (ANRP).
Is KENDRA S ULICKI (ANRP) active in the national directory?
KENDRA S ULICKI (ANRP)'s public NPI profile is in an active state.
Does KENDRA S ULICKI (ANRP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for KENDRA S ULICKI (ANRP). Clinical services aligned with this taxonomy classification.
What location metadata exists for KENDRA S ULICKI (ANRP)?
The page summarizes Garner, Iowa for KENDRA S ULICKI (ANRP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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