Shanice Kukuck, APNP
NPI 1063151330 · Pediatric Nurse Practitioner · West Bend, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shanice Kukuck, APNP is a Pediatric Nurse Practitioner provider in West Bend, WI (NPI 1063151330).
Provider details
- NPI number
- 1063151330
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209032039 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
146 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 79 | $72 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 56 | $102 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 11 | $104 |
Typical Medicare-allowed amounts for these services range $72–$104 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 27 | 27 |
| Atorvastatin Calcium | 27 | 11 |
| Fluticasone Propionate | 26 | 23 |
| Doxycycline Hyclate | 20 | 17 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 18 | 15 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 18 | 17 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-03
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Frequently asked questions
- What is Shanice Kukuck's NPI number?
- Shanice Kukuck's National Provider Identifier (NPI) is 1063151330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanice Kukuck's specialty?
- Shanice Kukuck is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shanice Kukuck located?
- Shanice Kukuck's practice location on file with NPPES is 1700 Paradise Dr, West Bend, WI 53095-9795.
- What is Shanice Kukuck's phone number?
- The practice phone number listed in the NPPES registry for Shanice Kukuck is (262) 334-3451.
- Does Shanice Kukuck accept Medicare?
- Shanice Kukuck is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shanice Kukuck's NPI active?
- Yes — Shanice Kukuck's NPI (1063151330) is active in the NPPES registry as of the last update on 2025-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.