Autumn Nichole Kirk, FNP in Knox, IN - Medicare Nurse Practitioner

Autumn Nichole Kirk, FNP is a medicare enrolled "Nurse Practitioner - Family" in Knox, Indiana. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice La Porte Clinic Company Llc and her current practice location is 104 E Culver Rd Ste 102, Knox, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 772-7918.

Autumn Nichole Kirk is licensed to practice in Indiana (license number 71008625A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912482936.

Contact Information

	Autumn Nichole Kirk, FNP
	104 E Culver Rd Ste 102, Knox, IN 46534-2241
	(574) 772-7918
	(574) 772-0894

Map and Direction

Provider's Profile

Full Name	Autumn Nichole Kirk
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	104 E Culver Rd Ste 102, Knox, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Autumn Nichole Kirk graduated from nursing school in 2018

NPI Data:

NPI Number: 1912482936
Provider Enumeration Date: 09/25/2018
Last Update Date: 10/07/2020

Medicare PECOS Information:

PECOS PAC ID: 9133466501
Enrollment ID: I20190123001194

Medical Identifiers

Medical identifiers for Autumn Nichole Kirk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912482936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28172692A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71008625A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
La Porte Hospital	La porte, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
La Porte Clinic Company Llc	0446558357	61

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Autumn Nichole Kirk allows following entities to bill medicare on her behalf.

Entity Name	La Porte Clinic Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Autumn Nichole Kirk is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Autumn Nichole Kirk, FNP 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-4004	Autumn Nichole Kirk, FNP 104 E Culver Rd Ste 102, Knox, IN 46534-2241 Ph: (574) 772-7918

Reviews and Comments

Nurse Practitioner Nurses in Knox, IN

Brooke V Butler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd, 106, Knox, IN 46534 Phone: 574-772-7400 Fax: 574-772-0299
Jennifer R Frasure, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd Ste 102, Knox, IN 46534 Phone: 574-772-7918 Fax: 574-772-0894
Ms. Melissa M Ilg, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 S Edgewood Dr, Knox, IN 46534 Phone: 574-772-4040
Tiffany Marie Bowser, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd Ste 102, Knox, IN 46534 Phone: 574-772-7918 Fax: 574-772-0894
Erin Duff, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd Ste 102, Knox, IN 46534 Phone: 574-772-7918 Fax: 574-772-0894
Mrs. Renae Charlene Atkins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd Ste 106, Knox, IN 46534 Phone: 574-772-7400 Fax: 574-772-0299
Joos Moerland, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Culver Rd Ste 102, Knox, IN 46534 Phone: 574-772-7918

Autumn Nichole Kirk, FNP - Medicare Nurse Practitioner in Knox, IN