Individual provider Active NPI

Roger Lee Kirkwood, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Manhattan, KS
National Provider Identifier
1063728764
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-75194-031 Issued in KS
Practice address
2601 Anderson Ave Ste 202
Manhattan, KS 66502-2809
Phone
(316) 691-8504
NPI assigned
Aug 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-75194 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-75194-031 KS Primary

Addresses

Primary practice location

2601 Anderson Ave Ste 202
Manhattan, KS 66502-2809

Mailing address

2601 Anderson Ave Ste 202
Manhattan, KS 66502-2809
Phone (785) 648-1659

Other identifiers 1

IdentifierTypeStateIssuer
1063728764MedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://provider.kareo.com/roger-kirkwood Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130903000431 KS Practitioner - Nurse Practitioner 6901049410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

205 S 4TH St
Suite B12
Manhattan, KS 66502-6173
Phone (316) 691-8504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-75194KSMDNurse Practitioner
53-75194-031KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee Mental Health Service, Inc. CurrentSince Jan 23, 2017 Accepting new patients
Pawnee Mental Health Service, Inc. CurrentSince Jan 23, 2017 Accepting new patients
Kansas Psychiatric and Wellness Services Psychiatric/Mental Health CurrentSince Jul 15, 2021 Accepting new patients

Locations

814 Caroline Ave
Junction City, KS 66441
Phone (785) 762-5250

205 S 4th St
Ste B12
Manhattan, KS 66502
Phone (316) 691-8504

2001 Claflin Rd
Manhattan, KS 66502

5847 SW 29th St
Topeka, KS 66614
Phone (785) 224-9046

Interoperability endpoints

  • Direct secure messaging: roger.kirkwoodaprn.p1@direct.schcmed.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1063728764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 ANDERSON AVE STE 202",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022809",
            "telephone_number": "785-648-1659",
            "fax_number": "949-863-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ANDERSON AVE STE 202",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022809",
            "telephone_number": "316-691-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKWOOD",
        "first_name": "ROGER",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-19",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-75194",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-75194-031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063728764",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://provider.kareo.com/roger-kirkwood",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2805 Lakewood Dr",
            "city": "Manhattan",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665038405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.