Active NPI
Laura L Kirk, PA
- Physician Assistant
- Henderson, KY
National Provider Identifier
1144845868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1111
- Practice address
- 1305 N Elm St
Henderson, KY 42420-2783 - Phone
- (270) 827-7100
- Fax
- (270) 827-7446
- NPI assigned
- Jun 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Henderson, KY
- NPI 1912544958
KY, Physician Assistant
-
- Pain Clinic/Center
- Henderson, KY
- NPI 1780249060
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
- Emergency Medicine Physician
- Newburgh, IN
- NPI 1841228822
Physician Assistant
-
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.82 of 100
- Quality
- 91.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.82
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200910002146 | IN | Practitioner - Physician Assistant | 2567880370 | Reassigns benefits to 1 organization |
| I20201022003831 | KY | Practitioner - Physician Assistant | 2567880370 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1111 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Health, Inc. | Physician Assistant | Current | Accepting new patients |
| Deaconess Hospital, Inc | Physician Assistant | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Methodist Health, Inc. | Current | Accepting new patients | |
| Methodist Health, Inc. | Past | Accepting new patients | |
| Deaconess Hospital, Inc | Physician Assistant | Past | Accepting new patients |
Locations
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1111 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1305 N Elm St
Henderson, KY 42420-2783
Mailing address
PO Box 3407
Evansville, IN 47733-3407
Phone (270) 827-7100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2020.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1144845868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3407",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477333407",
"telephone_number": "270-827-7100",
"fax_number": "270-827-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 N ELM ST",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424202783",
"telephone_number": "270-827-7100",
"fax_number": "270-827-7446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "LAURA",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-09",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA1111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.