Individual provider Active NPI

Rachel R Kirkus, APRN

  • Acute Care Nurse Practitioner
  • Pinellas Park, FL
National Provider Identifier
1255154530
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11033933 Issued in FL
Practice address
6770 102ND Ave N
Pinellas Park, FL 33782-2909
Phone
(727) 523-2460
Fax
(727) 523-2370
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11033933 FL Primary

Addresses

Primary practice location

6770 102ND Ave N
Pinellas Park, FL 33782-2909

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-0550

Other identifiers 1

IdentifierTypeStateIssuer
124714800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241120001082 FL Practitioner - Nurse Practitioner 0840725404 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empath Community Health LLCGroup PAC ID 8527368877, 10 clinicians

Practice addresses (Care Compare)

6770 102ND Ave N
Pinellas Park, FL 33782-2909
Phone (727) 523-2460

Hospital & facility affiliations

  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11033933FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince Jan 6, 2025 Accepting new patients
Empath Community Health LLC CurrentSince Dec 31, 2025 Accepting new patients
Lee Memorial Health System CurrentSince Jan 6, 2025 Accepting new patients
Lee Health System Inc CurrentSince Jan 6, 2025 Accepting new patients
Lee Health System Inc CurrentSince Jan 6, 2025 Accepting new patients
Empath Hospice, LLC PastSince Mar 12, 2024 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

13340 Metro Pkwy
Ste 200
Fort Myers, FL 33966
Phone (239) 343-0550

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

6310 Capital Dr
Lakewood Ranch, FL 34202
Phone (941) 552-7500

6770 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 523-2460

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1255154530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-0550",
            "fax_number": "239-343-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 102ND AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822909",
            "telephone_number": "727-523-2460",
            "fax_number": "727-523-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKUS",
        "first_name": "RACHEL",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11033933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124714800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.