Active NPI
Ann Mirette Kirby, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2010006113
- Practice address
- 1299 Farnam St
Omaha, NE 68102-1880 - Phone
- (323) 205-7088
- Fax
- (833) 419-0181
- NPI assigned
- Mar 9, 2010
- Last updated
- Feb 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 115246 | NE | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209027374 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2010006113 | MO | Primary |
Addresses
Primary practice location
1299 Farnam St
Omaha, NE 68102-1880
Mailing address
11 S Division St Ste a
Bonne Terre, MO 63628-1701
Phone (573) 723-1100
Other practice location 1
332 S Michigan Ave Ste 900
Chicago, IL 60604-4393
Phone (256) 500-8688
Other names 1
- Mrs. Ann Mirette Dall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
107 W 9TH St
FL 2
Kansas City, MO 64105-1705
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209027374 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Bonne Terre Healthcare Clinic LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Elite Psychiatric Services, LLC | Past | Accepting new patients |
Locations
332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073
11 S Division St
Ste A
Bonne Terre, MO 63628
Phone (573) 723-1100
107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776
4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900
Interoperability endpoints
- https://api.platform.athenahealth.com/20393/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Denver, CO
- NPI 1760854442
MO, Psychiatric/Mental Health
-
- Family Nurse Practitioner
- Bonne Terre, MO
- NPI 1962043802
Psychiatric/Mental Health
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
NE
-
- Psychiatry Physician
- Saint Louis, MO
- NPI 1144428137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1154644870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 S DIVISION ST STE A",
"city": "BONNE TERRE",
"state": "MO",
"postal_code": "636281701",
"telephone_number": "573-723-1100",
"fax_number": "573-723-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 FARNAM ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681021880",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181"
}
],
"practiceLocations": [
{
"address_1": "332 S Michigan Ave Ste 900",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606044393",
"country_code": "US",
"telephone_number": "256-500-8688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRBY",
"first_name": "ANN",
"middle_name": "MIRETTE",
"name_prefix": "Mrs.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NE",
"license": "115246",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209027374",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2010006113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "DALL",
"middle_name": "MIRETTE",
"prefix": "MRS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.