Nancy Dirks, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

82684 Issued in KS

Practice address

4429 S River Blvd Ste D
Independence, MO 64055-4659

Phone

(888) 410-5230

Fax

(573) 271-5108

NPI assigned

Nov 28, 2023

Last updated

Jul 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Success Health System LLCGroup PAC ID 2961787809, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Success Health System, LLC

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1508310293

  KS

  Medicare reassignment Care Compare group NPD
• Leeker Enterprises Inc

  dba Reflections Counsulting

  • Clinical Social Worker
  • Kennett, MO
  • NPI 1932506524
  NPD (past)

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1689440083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 S RIVER BLVD STE D",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 S RIVER BLVD STE D",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554659",
            "telephone_number": "888-410-5230",
            "fax_number": "573-271-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKS",
        "first_name": "NANCY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "82684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marandi Ann Diehl, LPC
• Sarah Diersen, D.P.T.
• Dietchman and Associates, LLC
• Digestive Health Specialists, LLC
• Dignity Healthcare, LLC
• Discover Eye Surgery Center, LLC (Eye Surgery Center - The Cliffs)
• Aryn Elizabeth Dixon, MD
• Lloyd Theodore Dixon, OD
• Shontesscia Dixon
• Laurie Dolezal, APRN

• Psychiatric/Mental Health Nurse Practitioner in Independence, MO
• Providers in Independence, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.

Verify at the official NPI Registry.