Individual provider Active NPI

Connor Michael Kirwan, PA-C

  • Physician Assistant
  • Aberdeen, SD
National Provider Identifier
1346120938
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1236697 Issued in SD
Practice address
506 S Wilson St
Aberdeen, SD 57401-5082
Phone
(605) 725-3900
NPI assigned
Sep 4, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1236697 SD Primary

Addresses

Primary practice location

506 S Wilson St
Aberdeen, SD 57401-5082

Mailing address

917 9TH Ave NE
Aberdeen, SD 57401-2506
Phone (605) 730-2982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20251021004433 SD Practitioner - Physician Assistant 6901394030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Care IncGroup PAC ID 8921997933, 55 clinicians

Practice addresses (Care Compare)

506 S Wilson St
Aberdeen, SD 57401-5082
Phone (605) 725-3900

602 1St St NE
Suite 1
Wessington Springs, SD 57382-2163
Phone (605) 539-1778

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1236697SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Oct 6, 2025 Accepting new patients
Horizon Health Care Inc CurrentSince Sep 8, 2025 Accepting new patients
Horizon Health Care Inc Current Accepting new patients
Horizon Health Care Inc CurrentSince Oct 6, 2025 Accepting new patients
Horizon Health Care Inc Past Accepting new patients

Locations

506 S Wilson St
Aberdeen, SD 57401
Phone (605) 725-3900

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1346120938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 9TH AVE NE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012506",
            "telephone_number": "605-730-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S WILSON ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015082",
            "telephone_number": "605-725-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRWAN",
        "first_name": "CONNOR",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1236697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.