Active NPI
Dawn Kathleen Sirek, FNP-C
- Family Nurse Practitioner
- Hanover, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013258
- Practice address
- 4152 W State Road 56
Hanover, IN 47243-9070 - Phone
- (812) 762-4510
- NPI assigned
- Apr 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- London, KY
- NPI 1023379815
-
- Family Medicine Physician
- Hanover, IN
- NPI 1649770769
-
- Nurse Practitioner
- Bedford, IN
- NPI 1225579063
-
- Family Nurse Practitioner
- Franklin, KY
- NPI 1457716706
-
- Foot & Ankle Surgery Podiatrist
- Hoover, AL
- NPI 1538686498
-
- Rural Health Clinic/Center
- Bedford, IN
- NPI 1841911591
-
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1669256913
-
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Rural Health Clinic/Center
- Bardstown, KY
- NPI 1184381444
-
- Rural Health Clinic/Center
- Mount Washington, KY
- NPI 1265145452
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Kentucky, PLLCBrock Medical, LLC
Practice addresses (Care Compare)
110 W John Rowan Blvd
Bardstown, KY 40004-2663
Phone (502) 337-7409
145 Brookeway Dr
Mt Washington, KY 40047-5576
Phone (502) 538-2430
1475 Nashville Rd
Franklin, KY 42134-6961
Phone (615) 988-1571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200303000838 | IN | Practitioner - Nurse Practitioner | 6002243110 | Reassigns benefits to 3 organizations |
| I20200515002508 | KY | Practitioner - Nurse Practitioner | 6002243110 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Brock Medical, LLC | Current | Accepting new patients | |
| FC Indiana, LLC | Current | Accepting new patients | |
| Fast Pace Kentucky, PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| FC Indiana, LLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Family | Current | Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Kentucky, PLLC | Past | Accepting new patients | |
| Fast Pace Kentucky, PLLC | Past | Accepting new patients |
Locations
2418 16th St
Bedford, IN 47421
Phone (812) 278-3154
1159 W Jefferson St
Ste 204
Franklin, IN 46131
4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510
2070 N State Highway 3
North Vernon, IN 47265
Phone (812) 772-4380
1202 E Tipton St
Seymour, IN 47274
Phone (812) 627-4933
110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409
1430 N Main St
Beaver Dam, KY 42320
Phone (270) 775-4483
110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059
1873 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 404-6450
1591 Hustonville Rd
Danville, KY 40422
Phone (270) 861-1110
1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111
237 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 861-1110
805 S Lincoln Blvd
Hodgenville, KY 42748
2955 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 348-3677
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
1350 N Main St
Madisonville, KY 42431
Phone (270) 245-2554
239 N 12th St
Middlesboro, KY 40965
Phone (270) 632-1548
480 Indian Mound Dr
Mt Sterling, KY 40353
Phone (270) 245-2554
145 Brookeway Dr
Mt Washington, KY 40047
Phone (502) 538-2430
115 Lee Ave
Pikeville, KY 41501
Phone (606) 727-5296
115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013258 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4152 W State Road 56
Hanover, IN 47243-9070
Mailing address
2345 Winston Ave
Louisville, KY 40205-2642
Phone (502) 819-7200
Other practice location 1
2345 Winston Ave
Louisville, KY 40205-2642
Phone (502) 819-7200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2024.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1760944797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 WINSTON AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052642",
"telephone_number": "502-819-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4152 W STATE ROAD 56",
"city": "HANOVER",
"state": "IN",
"postal_code": "472439070",
"telephone_number": "812-762-4510"
}
],
"practiceLocations": [
{
"address_1": "2345 Winston Ave",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402052642",
"country_code": "US",
"telephone_number": "502-819-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIREK",
"first_name": "DAWN",
"middle_name": "KATHLEEN",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.