Donna L. Kicin, AGPCNP-BC
NPI 1245032432ActiveIndividual· Nurse Practitioner, Gerontology· West Jordan, UT
Nurse Practitioner, Gerontology (AGPCNP-BC) with Integrated Clinix, practicing in West Jordan, Utah. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1245032432 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGPCNP-BC |
| Sole proprietor | Yes |
| NPI issued | Mar 26, 2025 |
| Last updated in NPPES | May 28, 2026 |
| Certified by provider | May 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 10496682-4405 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (UT) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Integrated ClinixCedar Hills, UT · 7 clinicians
Other facilities
- Ability Home HealthHome health agency · South Jordan, UT
- Ability HospiceHospice · South Jordan, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records