Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy M Kukucka, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1588175392

Amy M Kukucka, NURSEPRACTITIONER is a Nurse Practitioner in Fairmont, West Virginia. Qualified in 2017, 9 years ago. Practices with Hospice of Huntington, Inc, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio and West Virginia.

Years since qualifying
9
Licensed in
OH, WV
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1543 Country Club Rd # A
Fairmont, WV 26554-1306
Phone: (304) 363-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 Sunbury Rd, Delaware, OH 43015-6040 — (740) 417-8562

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 123735 (WV)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.021822 (OH)

Record details

NPI number1588175392
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 19, 2017
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hospice Of Huntington, Inc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairmont