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

Danielle L Kucik, APNP

Individual provider Family Nurse Practitioner · NPI 1093276040

Danielle L Kucik, APNP is a Nurse Practitioner in West Allis, Wisconsin. Qualified in 2018, 8 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

6609 W Greenfield Ave
West Allis, WI 53214-4958
Phone: (414) 257-8577
Fax: (414) 257-8505
Show map & directions

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

Additional practice locations (1)

  • 7400 W Rawson Ave Ste 100, Franklin, WI 53132-8282 — (414) 425-7000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9159 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9159 (WI)

Record details

NPI number1093276040
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedMarch 30, 2019
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Allis