Active NPI
Patricia Gail Kirkpatrick, FNP-C
- Family Nurse Practitioner
- Keokuk, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A102994
- Practice address
- 20 Village Circle
Keokuk, IA 52632-2040 - Phone
- (319) 524-3462
- Fax
- (319) 209-2149
- NPI assigned
- Oct 28, 2015
- Last updated
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A102994 | IA | Primary |
Addresses
Primary practice location
20 Village Circle
Keokuk, IA 52632-2040
Mailing address
2753 260TH St.
New London, IA 52645
Phone (319) 217-9035
Other practice location 1
100 Care Circle
New London, IA 52645-1767
Phone (319) 367-5753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A102994 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimae Lifeservices, Inc, | Current | Accepting new patients | |
| Optimae Lifeservices,Inc. | Current | Accepting new patients | |
| Stanley Mathew, MD PLLC | Current | Accepting new patients | |
| Nurse in the House, Inc. | Past | Accepting new patients |
Locations
1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970
2201 W Jefferson Ave
Fairfield, IA 52556
Phone (641) 472-5771
301 W Burlington Ave
Fairfield, IA 52556
Phone (641) 472-1684
20 Village Cir
Keokuk, IA 52632
Phone (319) 524-3462
100 Care Circle St
New London, IA 52645
Phone (319) 367-5753
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.
-
- Community/Behavioral Health Agency
- Muscatine, IA
- NPI 1184898470
-
dba American Rehabilitation Medicine
- Physical Medicine & Rehabilitation Physician
- Cedar Rapids, IA
- NPI 1720312465
-
- Community/Behavioral Health Agency
- Fairfield, IA
- NPI 1174520084
-
dba Nurse in the House, Inc., Central Iowa
- Home Health Agency
- Des Moines, IA
- NPI 1598196040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1508238635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2753 260TH ST.",
"city": "NEW LONDON",
"state": "IA",
"postal_code": "52645",
"telephone_number": "319-217-9035",
"fax_number": "319-209-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 VILLAGE CIRCLE",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526322040",
"telephone_number": "319-524-3462",
"fax_number": "319-209-2149"
}
],
"practiceLocations": [
{
"address_1": "100 Care Circle",
"address_purpose": "LOCATION",
"city": "New London",
"state": "IA",
"postal_code": "526451767",
"country_code": "US",
"telephone_number": "319-367-5753",
"fax_number": "319-209-2149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "PATRICIA",
"middle_name": "GAIL",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A102994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keokuk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.