Shanice S. Kukuck, APNP
NPI 1063151330ActiveIndividual· Nurse Practitioner, Pediatrics· West Bend, WI
Nurse Practitioner, Pediatrics (APNP) in West Bend, Wisconsin, licensed in IL and WI, with an NPI issued in June 2022. Their prescriptions cost Medicare Part D more than their services did: $47,377 for 560 claims, against $10,933 paid for services in 2024. Haemonetics Corporation reported $16.73 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1063151330 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APNP |
| Sole proprietor | No |
| NPI issued | Jun 3, 2022 |
| Last updated in NPPES | Jun 10, 2025 |
| Certified by provider | Jun 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 209032039 | IL |
| Nurse Practitioner, Family | 363LF0000X | 209032039 | IL |
| Nurse Practitioner, Family | 363LF0000X | 11997-33 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL); Practitioner - Nurse Practitioner (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 121 |
|---|---|
| Services billed | 183 across 22 procedure codes |
| Paid by Medicare | $10,933 |
Part D prescriptions in 2024
| Prescriptions (claims) | 560 · 941 30-day fills |
|---|---|
| Patients | 223 |
| Total drug cost | $47,377 |
| Generic share | 86% of claims |
Industry payments (Open Payments)
- 2025$16.73 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Haemonetics Corporation | $16.73 | 1 |
What the 2025 payments were for
- Food and Beverage$16.73 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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