DONNA L KICIN (AGPCNP-BC) – Geriatric Medicine (Family Medicine) Physician, NPI 1245032432

Geriatric Medicine (Family Medicine) Physician

DONNA L KICIN (AGPCNP-BC) is a healthcare provider. based in West jordan, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 104966824405 (UT). The NPI Number for DONNA L KICIN (AGPCNP-BC) is 1245032432

Main info

Female

Sole Proprietor

1 Year Of Experience

Accepts Medicare Assignment

Name

DONNA L KICIN (AGPCNP-BC)

NPI

1245032432

Phone

(385) 267-3951

Address

1755 W 8760 S

Enumeration Date

26 March 2025

Last Update Date

8 April 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8018221880

Graduation Year

2025 (1 year ago)

PAC ID

4486138815

Group Practice PAC ID

0941636872

Professional Enrollment ID

I20260324001271

Address ID

UT840628638CE4337XSTXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience35

Completeness85

Years active:1State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for DONNA L KICIN (AGPCNP-BC)

1755 W 8760 S
WEST JORDAN, UT 840889397
Phone: (385) 267-3951
Fax: (385) 304-4749
Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 84088)

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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: 0941636872View full group profile

Name	Specialty	State
ALAN WITTERT (PT, DPT)	Physical Therapist In Private Practice	NY
DAVID COWLEY SMITH (PA)	Physician Assistant	UT
SPENCER CLARK	Physical Therapist In Private Practice	UT
ANDREW LAIRD GRINER	Occupational Therapist In Private Practice	IA
KIMBERLY HANSEN	Nurse Practitioner	UT

Reviews

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Frequently asked questions

Is DONNA L KICIN (AGPCNP-BC) listed with a National Provider Identifier?

Yes — DONNA L KICIN (AGPCNP-BC) has NPI 1245032432 on file in the registry.

Active or inactive — what applies to DONNA L KICIN (AGPCNP-BC)?

You should see DONNA L KICIN (AGPCNP-BC) as active in CMS-hosted NPPES data.

What area of care is associated with DONNA L KICIN (AGPCNP-BC)?

DONNA L KICIN (AGPCNP-BC)'s record emphasizes Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.

What locale is associated with DONNA L KICIN (AGPCNP-BC)?

Directory geography for DONNA L KICIN (AGPCNP-BC) centers on West Jordan, Utah.

What does 2 location(s) imply?

2 practice locations appear in the available data.