Individual provider Active NPI

Dawn Kathleen Sirek, FNP-C

  • Family Nurse Practitioner
  • Hanover, IN
National Provider Identifier
1760944797
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013258 Issued in KY
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.

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, PLLC 213 clinicians
Brock Medical, LLC 93 clinicians

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, KY2 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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC CurrentSince May 1, 2020 Accepting new patients
Brock Medical, LLC CurrentSince May 1, 2020 Accepting new patients
FC Indiana, LLC CurrentSince Feb 7, 2020 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
FC Indiana, LLC CurrentSince Feb 7, 2020 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 8, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Jan 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 8, 2024 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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3013258 KY Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.