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

Michael Lamar Kukulka

Individual provider Family Nurse Practitioner · NPI 1356990915

Michael Lamar Kukulka is a Nurse Practitioner in Bloomington, Indiana. Qualified in 2019, 7 years ago. Practices with Illinois Urgent Care Professionals PLLC, a 33-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska and Indiana.

Years since qualifying
7
Licensed in
AK, IN
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1355 W Bloomfield Rd Ste 3
Bloomington, IN 47403-2051
Phone: (812) 200-2789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 123 S Franklin Rd, Bloomington, IN 47404-5296 — (812) 778-3116

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71009326A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 195749 (AK)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 71009326A (IN)

Record details

NPI number1356990915
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 6, 2019
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address2602 Glacier St, Anchorage, AK 99508-3772

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Illinois Urgent Care Professionals Pllc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bloomington