KACY MIKALA KIRK NP
NPI 1063950160
Nurse Practitioner - Family in Tullahoma, TN

Active since February 08, 2017PECOS EnrolledAccepts Medicare Assignment
1803 N JACKSON ST, TULLAHOMA, TN 37388(931) 455-3400 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2021, Feb 8, 2017 (2 updates tracked since 2017).

About Kacy Mikala Kirk Np NPPES

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

KACY MIKALA KIRK NP (NPI 1063950160) is an individual family provider in Tullahoma, Tennessee, licensed in Tennessee (22311) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manchester, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063950160
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKACY MIKALA KIRKCredential: NP
Location Address1803 N JACKSON STTullahoma, TN 37388-2201
Mailing Address183 Roberts Creek CirManchester, TN 37355-3690 · (931) 607-2531
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 8, 2017
Last NPPES UpdateNovember 12, 20212 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
NPI 1063950160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 22311
1803 N JACKSON ST, Tullahoma, TN 37388

Secondary Practice Location 1

Location 11415 Hillsboro Blvd Ste 106Manchester, TN 37355-2599 · Phone (931) 954-5605

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kacy Mikala Kirk Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991082554
PECOS Enrollment IDI20170508002725
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37388 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1803 N JACKSON ST
TULLAHOMA, TN 37388
Registered Nurse
1803 N JACKSON ST
TULLAHOMA, TN 37388
Counselor (Mental Health)
1803 N JACKSON ST
TULLAHOMA, TN 37388
Counselor (Mental Health)
1803 N JACKSON ST
TULLAHOMA, TN 37388
Registered Nurse
1803 N JACKSON ST
TULLAHOMA, TN 37388
Counselor (Mental Health)
1803 N JACKSON ST
TULLAHOMA, TN 37388
Counselor (Mental Health)
1803 N JACKSON ST
TULLAHOMA, TN 37388
Case Manager/Care Coordinator
1803 N JACKSON ST
TULLAHOMA, TN 37388

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 Kacy Kirk's NPI number?

The NPI number for Kacy Kirk is 1063950160. It was assigned to this individual provider in the NPPES registry on February 8, 2017.

Where is Kacy Kirk located?

Kacy Kirk practices at 1803 N Jackson St, Tullahoma, TN 37388. The listed phone number is (931) 455-3400.

What is Kacy Kirk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kacy Kirk enrolled in Medicare?

Yes. Kacy Kirk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kacy Kirk accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Kacy Kirk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kacy Kirk was last updated on November 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.