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DR. KRISTINE K VAN KIRK M.D.
NPI 1003078148
Family Medicine - Adult Medicine in Cheyenne, WY

Active since June 30, 2008Opted out of Medicare · through May 10, 2028
6015 SYCAMORE RD, CHEYENNE, WY 82009(307) 823-2968 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2019, Dec 20, 2018, Oct 11, 2018 (3 updates tracked since 2018).

About Dr. Kristine K Van Kirk M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTINE K VAN KIRK M.D. (NPI 1003078148) is an individual adult medicine provider in Cheyenne, Wyoming, licensed in Wyoming (9074A) and active in the NPI registry since June 2008. She has opted out of Medicare through May 10, 2028.

NPPES Registry Identity

NPI1003078148
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. KRISTINE K VAN KIRKCredential: M.D.
Location Address6015 SYCAMORE RDCheyenne, WY 82009-4347
Mailing Address6015 Sycamore RdCheyenne, WY 82009-4347
Phone(307) 823-2968
Sole ProprietorNo
Enumeration DateJune 30, 2008
Last NPPES UpdateJanuary 3, 20193 updates tracked since enumeration
✔ NPI 1003078148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in WY · 9074A
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License 9074A (WY)
6015 SYCAMORE RD, Cheyenne, WY 82009
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kristine K Van Kirk M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 10, 2022 through May 10, 2028.

Opt-Out Effective DateMay 10, 2022
Opt-Out In Effect ThroughMay 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
74%82 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
88%497 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,256 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
41%178 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%231 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
74%1,283 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
54%503 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 422 patients
94%422 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,283 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
61%1,283 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
64%1,283 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH CHEYENNE MEDICAL
Clinic/Center (Primary Care)
6015 SYCAMORE RD, 1ST FLOOR
CHEYENNE, WY 82009
Laramie County (307) 514-1300
CHEYENNE FAMILY DENTISTRY
Dentist (General Practice)
6015 SYCAMORE RD
CHEYENNE, WY 82009
Laramie County (307) 634-3672
DR. BENJAMIN ESCOBEDO DDS
Dentist (General Practice)
6015 SYCAMORE RD
CHEYENNE, WY 82009
Laramie County (307) 634-3672
ZIAD SKAF
Family Medicine
6015 SYCAMORE RD, 1ST FLOOR
CHEYENNE, WY 82009
Laramie County (307) 514-1300
MARK D RINNE DDS, PC
Dentist (General Practice)
6015 SYCAMORE RD
CHEYENNE, WY 82009
Laramie County (307) 634-3672
HEALTHY LIFESTYLE MEDICINE
Family Medicine (Adult Medicine)
6015 SYCAMORE RD
CHEYENNE, WY 82009
Laramie County (307) 823-2968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Van Kirk's NPI number?

The NPI number for Kristine Van Kirk is 1003078148. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Kristine Van Kirk located?

Kristine Van Kirk practices at 6015 Sycamore Rd, Cheyenne, WY 82009. The listed phone number is (307) 823-2968.

What is Kristine Van Kirk's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Kristine Van Kirk enrolled in Medicare?

No. Kristine Van Kirk has opted out of Medicare through May 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristine Van Kirk was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.