Brooke Alexandria Kirk, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Princeton, WV
NPI 1376208702 · NPPES record last updated Feb 28, 2023
Key facts
- NPI
- 1376208702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 110289 (WV)
- Practice address
- 150 Misty Lane (Princeton Family Medicine PLLC)
Princeton, WV 24740 - Phone
- (304) 425-4040
- Fax
- (304) 425-4041
- NPI assigned
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bluestone Health Association, Inc.
Practice addresses (Care Compare)
106 Thorn St
Princeton, WV 24740-3560
Phone (681) 282-5609
154 Majestic PL
Bluefield, WV 24701-9170
Phone (304) 409-6720
324 Oakvale Rd
Suite 12
Princeton, WV 24740-3829
Phone (681) 282-5576
701 Bland St
Bluefield, WV 24701-3503
Phone (304) 800-5413
Hospital & facility affiliations
- Princeton Community Hospital Assn Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220228002259 | WV | Practitioner - Nurse Practitioner | 3274927611 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluestone Health Association, Inc. | Current |
Accepting new patients | |
| Bluestone Health Association, Inc. | Current | Accepting new patients | |
| Bluestone Health Association, Inc. | Current |
Accepting new patients | |
| Bluestone Health Association, Inc. | Current | Accepting new patients | |
| Bluestone Health Association, Inc. | Current |
Accepting new patients |
Locations
154 Majestic Pl
Bluefield, WV 24701
Phone (304) 409-6720
701 Bland St
Bluefield, WV 24701
Phone (304) 800-5413
3997 Beckley Rd
Princeton, WV 24740
Phone (304) 431-5499
106 Thorn St
Princeton, WV 24740
Phone (304) 314-7501
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71392
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 110289 | WV | Yes |
Addresses
Primary practice location
150 Misty Lane (Princeton Family Medicine PLLC)
Princeton, WV 24740
Mailing address
347 Gospel Tabernacle Rd
Athens, WV 24712-9431
Phone (304) 952-3400
Other providers in Princeton, WV
- Alexis King
- Angel King
- Michael D King
- Amber Kinser
- Stephanie Kinser
- Tammy Kirkpatrick
- Robert Knox
- Stormi Koen
- Yung Hie Koh
- Corey Koontz
All providers in Princeton, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.