Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083955108 Individual Practitioner Female Practitioner

Dr. Nicole Marie Kucera , DO

Pediatrics • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Kucera, DO is a registered healthcare professional specializing in Pediatrics in Springfield, MO. Practice services are available at 1720 W GRAND ST STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1720 W Grand St Ste B

Springfield, MO 658024802

Telephone 4178310150
Fax 4178631936
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
64 Specialists

Practicing in Springfield, MO (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO 2016025648

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500137105 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013172618

Doctor of Dental Surgery

Sharyn Salkil , FNP

Nurse Practitioner - Family

NPI 1023860855

Family Nurse Practitioner

NPI 1063306918

Doctor of Dental Surgery

Amber Greek , RDH

Dental Hygienist

NPI 1063344489

Registered Dental Hygienist

Dr. Carrie Arquitt , DDS

Dentist - Pediatric Dentistry

NPI 1063520054

Doctor of Dental Surgery

Dr. Andrew Benbow , DO

Family Medicine

NPI 1073953626

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 03, 2026

Registered at 1720 W GRAND ST STE B, SPRINGFIELD, MO 658024802 (Tel: 4178310150)

📍
Updated Business Mailing Address August 03, 2026

Registered at 440 E TAMPA ST, SPRINGFIELD, MO 658061131 (Tel: 4178310150)

📍
Updated Practice Location August 18, 2018

Registered at 3443 S NATIONAL AVE, SPRINGFIELD, MO 65807 (Tel: 4172692000)

📍
Updated Business Mailing Address August 18, 2018

Registered at 3443 S NATIONAL AVE, SPRINGFIELD, MO 658077308 (Tel: 4172692000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2018

Pediatrics (License #2016025648 in MO)

NPI Profile Active March 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2013

Registered at 717 S HOUSTON AVE, TULSA, OK 741279023 (Tel: 9183823178)

📍
Updated Business Mailing Address March 14, 2013

Registered at 717 S HOUSTON AVE, TULSA, OK 741279023 (Tel: 9183823178)

👤
Provider Name / Credentials Updated March 14, 2013

Recorded as NICOLE KUCERA, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 14, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083955108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2013
Last Update: August 03, 2026
Sole Proprietor: No

Mailing Address

440 E Tampa St

Springfield, MO 658061131

Phone: 4178310150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.