Individual provider Active NPI

Mary Alicia-Dana Kirk, NP

  • Family Nurse Practitioner
  • Monroe, MI
National Provider Identifier
1184190696
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704298581 Issued in MI
Practice address
1645 N Dixie Hwy Ste 2
Monroe, MI 48162-5231
Phone
(734) 344-7432
Fax
(734) 344-7431
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704298581 MI Primary

Addresses

Primary practice location

1645 N Dixie Hwy Ste 2
Monroe, MI 48162-5231

Mailing address

1645 N Dixie Hwy
Monroe, MI 48162-5231
Phone (734) 344-7432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190731002765 MI Practitioner - Nurse Practitioner 6800122656 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Make Your Turn LLCGroup PAC ID 1850830621, 3 clinicians

Practice addresses (Care Compare)

1645 N Dixie Hwy 2
Myt Monore
Monroe, MI 48162-5231
Phone (734) 265-0120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704298581MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Feb 1, 2024 Accepting new patients
Make Your Turn LLC CurrentSince Nov 18, 2025 Accepting new patients
Sterling Heights Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Rochester Urgent Care Walk-in Clinic CurrentSince Mar 24, 2020 Accepting new patients
Canton Urgent Care Walk-in Clinic PC CurrentSince Jul 1, 2019 Accepting new patients
Taylor Urgent Care PC CurrentSince Mar 24, 2020 Accepting new patients
Shelby Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Henry Ford Health System Family CurrentSince Feb 1, 2024 Accepting new patients
Commerce Urgent Care Walk-in Clinic CurrentSince Jul 1, 2019 Accepting new patients
Troy Urgent Care Walk-in Clinic CurrentSince Mar 24, 2020 Accepting new patients
Clinton Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Doctors Urgent Care Southfield CurrentSince Aug 1, 2020 Accepting new patients
Chesterfield Urgent Care Walk-in Clinic CurrentSince Mar 24, 2020 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Farmington Hills Urgent Care Walk-in Clinic PC PastSince Jul 31, 2022 Accepting new patients

Locations

43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050

51160 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 221-1805

37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334

2900 Union Lake Rd
Ste 110
Commerce Twp, MI 48382
Phone (248) 242-6049

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

25950 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 803-0672

1645 N Dixie Hwy
Ste 2
Monroe, MI 48162
Phone (734) 265-0120

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

2915 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-0022

46961 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 991-5205

43722 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 262-4277

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

4060 Rochester Rd
Troy, MI 48085
Phone (248) 250-6420

22505 Allen Rd
Woodhaven, MI 48183
Phone (734) 671-6217

3450 W Central Ave
Ste 122
Toledo, OH 43606
Phone (419) 210-3660

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1184190696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 N DIXIE HWY",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625231",
            "telephone_number": "734-344-7432",
            "fax_number": "734-344-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 N DIXIE HWY STE 2",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625231",
            "telephone_number": "734-344-7432",
            "fax_number": "734-344-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "MARY",
        "middle_name": "ALICIA-DANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704298581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.