JACKIE L KUCHTA (DNP FNP-C BC-ADM) – Family Nurse Practitioner, NPI 1053813964
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,114 NURSE PRACTITIONER in NE
Provider Addresses for JACKIE L KUCHTA (DNP FNP-C BC-ADM)
2800 FLATWATER DR APT 203
SOUTH SIOUX CITY, NE 687765484
Phone: (712) 635-8685
Fax: (402) 944-1450
Type: Mailing
6901 S 84TH ST
LA VISTA, NE 681282127
Phone: (866) 389-2727
Type: Location
Mercy Medical Center, 801, 5th Street, Sioux City, Woodbury County, Iowa, 51101, United States
SIOUX CITY, IA 511011326
Phone: (712) 279-2345
Fax: (712) 279-2494
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: 2018-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180613003416 | I | Nurse Practitioner | NE | TBD |
| I20180613003448 | I | Nurse Practitioner | IA | TBD |
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.
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 68776)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| - | NE | |
| - | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| - | NE | |
| Nurse Practitioner | NE | |
| - | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE |
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