Mary Beth Newkirk

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

76441 Issued in KS

Practice address

403 Woodland Hills Blvd
Fort Scott, KS 66701-8798

Phone

(620) 223-8040

Fax

(620) 223-8002

NPI assigned

Aug 5, 2014

Last updated

May 14, 2024By 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

Other names 1

• Mary Beth Newkirk Professional name

Medicare fee-for-service enrollment

Enrolled in KS, MO2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnewkirk5474@directa.mercy.net

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.

• Mercy Southern Missouri Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Springfield, MO
  • NPI 1871094052
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  KS, Nurse Practitioner

  Medicare reassignment NPD
• Hospital District No 1 Crawford County

  • Nurse Practitioner
  • Girard, KS
  • NPI 1508897182
  Medicare reassignment
• Alliance Radiology, PA

  • Diagnostic Radiology Physician
  • Shawnee Mission, KS
  • NPI 1467400663
  NPD (past)
• Lincoln County Hospital

  • Critical Access Hospital
  • Lincoln, KS
  • NPI 1942265327
  NPD (past)

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1972912830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018798",
            "telephone_number": "620-223-8040",
            "fax_number": "620-223-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018798",
            "telephone_number": "620-223-8040",
            "fax_number": "620-223-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 N Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Girard",
            "state": "KS",
            "postal_code": "667432000",
            "country_code": "US",
            "telephone_number": "620-724-8291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWKIRK",
        "first_name": "MARY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "76441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "NEWKIRK",
            "middle_name": "BETH",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Steve C Mitchell Sr., OD
• Tylar N Montgomery, FNP-BC
• Pamela R Moyers
• Judy Nelson, ARNP
• Kelly Nelson, PTA
• Tien Q Nguyen, PMHNP
• Robert R Nichols, M.D.
• No Limits Rehabilitation, Inc. (No Limits Rehabilitation)
• Anna K O'Dell, APRN
• Kenneth L. Offutt, DO

• Nurse Practitioner in Fort Scott, KS
• Providers in Fort Scott, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.