Individual provider Active NPI

Carissa Nicolette Kirk, D.O.

  • Orthopaedic Surgery Physician
  • Edinburg, TX
National Provider Identifier
1801003959
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
P7296 Issued in TX
Practice address
5540 Raphael Dr
Edinburg, TX 78539-1407
Phone
(956) 362-6683
Fax
(956) 362-6818
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 67668 GA
Orthopaedic Surgery Physician 207X00000X 20A20576 CA
Orthopaedic Surgery Physician 207X00000X 254863 NY
Orthopaedic Surgery Physician 207X00000X 76270 WI
Orthopaedic Surgery Physician 207X00000X 74450 MN
Orthopaedic Surgery Physician 207X00000X 20745 WI
Orthopaedic Surgery Physician 207X00000X P7296 TX Primary
Orthopaedic Surgery Physician 207X00000X 55627 IA

Addresses

Primary practice location

5540 Raphael Dr
Edinburg, TX 78539-1407

Mailing address

PO Box 4624
McAllen, TX 78502-4624
Phone (956) 362-6683

Other practice location 1

1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000

Other identifiers 2

IdentifierTypeStateIssuer
333634902MedicaidTX
1801003959MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ckirk440642@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX, WI, CA, MN5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20120709000619 GA Practitioner - Orthopedic Surgery 3577728997 Reassigns benefits to 1 organization
I20140204000785 TX Practitioner - Orthopedic Surgery 3577728997 Reassigns benefits to 2 organizations
I20210505002670 WI Practitioner - Orthopedic Surgery 3577728997 Reassigns benefits to 1 organization
I20230330002382 CA Practitioner - Orthopedic Surgery 3577728997 Reassigns benefits to 2 organizations
I20230831003594 MN Practitioner - Orthopedic Surgery 3577728997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke'S Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Acute Care Surgery Medical Group IncGroup PAC ID 7214006816, 205 clinicians
Synergy Surgicalists LLCGroup PAC ID 0244553105, 24 clinicians

Practice addresses (Care Compare)

1015 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-6980

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470

1800 Spring Ridge Dr
Susanville, CA 96130-6100
Phone (530) 252-2000

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-3232

726 4TH St
Marysville, CA 95901-5656
Phone (530) 749-4300

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Duluth, MN, CCN 240047
  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A20576CAMDOrthopaedic Surgery Physician
67668GAMDOrthopaedic Surgery Physician
55627IAMDOrthopaedic Surgery Physician
254863NYMDOrthopaedic Surgery Physician
20745WIMDOrthopaedic Surgery Physician
76270WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery Medical Group, Inc. Orthopaedic Surgery CurrentSince Mar 15, 2023 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Orthopaedic Surgery CurrentSince Mar 15, 2021 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Aug 1, 2023 Accepting new patients
Dean Health Systems, Inc. CurrentSince Dec 15, 2022 Accepting new patients
C H Wilkinson Physician Network CurrentSince Oct 24, 2013 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Aug 1, 2023 Accepting new patients
Dean Health Systems, Inc CurrentSince Dec 15, 2022 Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
C H Wilkinson Physician Network Orthopaedic Surgery CurrentSince Oct 24, 2013 Accepting new patients
Acute Care Surgery Medical Group, Inc. PastSince Jul 2, 2023 Accepting new patients
Health Services of Central Georgia, Inc PastSince Jun 1, 2004 Accepting new patients
Doctors Hospital at Renaissance, LTD PastSince Feb 24, 2017 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

29980 Network Pl
Chicago, IL 60673

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2606 Hospital Blvd
Fl 7
Corpus Christi, TX 78405
Phone (361) 902-4387

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

1211 Fish Hatchery Rd
Madison, WI 53715
Phone (608) 252-8000

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: carissa.kirk.kirca@slk.direct.slhduluth.com
  • Direct secure messaging: carissa.kirk@orthoassocwau.directbygreenway.com
  • Direct secure messaging: ckirk350463@direct.aspirus.org
  • Direct secure messaging: ckirk440642@direct-ehr-ssmhc.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1801003959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4624",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024624",
            "telephone_number": "956-362-6683",
            "fax_number": "956-362-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 RAPHAEL DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391407",
            "telephone_number": "956-362-6683",
            "fax_number": "956-362-6818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Fish Hatchery Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151909",
            "country_code": "US",
            "telephone_number": "608-252-8000",
            "fax_number": "608-288-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "CARISSA",
        "middle_name": "NICOLETTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "67668",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A20576",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "254863",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "76270",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "74450",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "20745",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P7296",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "55627",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333634902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801003959",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckirk440642@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ckirk440642@direct-ehr-ssmhc.com",
            "address_1": "1211 Fish Hatchery Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1211 Fish Hatchery Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.