Active NPI
Brandy Alicia Kirk, FNP-BC
- Nurse Practitioner
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71012078A
- Practice address
- 1 Park Row St
Michigan City, IN 46360-6597 - Phone
- (219) 874-7256
- Fax
- (219) 879-9839
- NPI assigned
- Jan 7, 2022
- Last updated
- Jan 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71012078A | IN | Primary |
Addresses
Primary practice location
1 Park Row St
Michigan City, IN 46360-6597
Mailing address
8837 Carolina Ave
Highland, IN 46322-2115
Phone (219) 742-4005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10176 W 400
Suite C
Michigan City, IN 46360-9009
Phone (219) 873-1777
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Mary Tilak PC | Current | Accepting new patients | |
| Smart Physician Systems PC | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Cardiovascular Consultants PC | Past | Accepting new patients | |
| The Methodist Hospitals, Inc. | Past | Accepting new patients |
Locations
27350 Network Pl
Chicago, IL 60673
1275 E North St
Crown Point, IN 46307
Phone (219) 663-2793
1275 E North St
Ste 102
Crown Point, IN 46307
Phone (219) 922-8051
6625 W US Highway 30
Crown Point, IN 46307
Phone (219) 440-5360
2241 45th St
Highland, IN 46322
Phone (219) 738-1736
200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926
8102 Georgia St
#1
Merrillville, IN 46410
Phone (219) 595-0300
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
10176 W 400 N
Ste C
Michigan City, IN 46360
Phone (219) 873-1777
8242 Calumet Ave
Ste 1
Munster, IN 46321
Phone (219) 595-0300
9410 Calumet Ave
Ste 101
Munster, IN 46321
Phone (219) 922-8051
Interoperability endpoints
- bkirk136418@themethodisthospitals.direct-ci.com
- https://fhir4.healow.com/fhir/r4/CBEIBA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Michigan City, IN
- NPI 1023550183
-
- Obesity Medicine (Internal Medicine) Physician
- Munster, IN
- NPI 1003096900
-
dba Methodist Northlake Physicians
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
dba The Neuroscience Institute of NWI
- Neurology Physician
- Gary, IN
- NPI 1720290588
-
- Cardiovascular Disease Physician
- Munster, IN
- NPI 1538106711
-
dba Methodist Surgical Services
- Surgery Physician
- Gary, IN
- NPI 1609104033
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1679234009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8837 CAROLINA AVE",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463222115",
"telephone_number": "219-742-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK ROW ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463606597",
"telephone_number": "219-874-7256",
"fax_number": "219-879-9839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "BRANDY",
"middle_name": "ALICIA",
"name_prefix": "Miss",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71012078A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.