HADEN KIRK
NPI 1093666422
Nurse Practitioner - Family in Lebanon, MO

Q: What is Haden Kirk's NPI number?

The NPI number for Haden Kirk is 1093666422. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Q: What is Haden Kirk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Haden Kirk was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since February 03, 2026PECOS Enrolled

755 COWAN DR, LEBANON, MO 65536(417) 532-2805 Get Directions Write a Review

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

On this page

About Haden Kirk NPPES

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

HADEN KIRK (NPI 1093666422) is an individual family provider in Lebanon, Missouri, licensed in Missouri (2026005067) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1093666422

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHADEN KIRK

Location Address755 COWAN DRLebanon, MO 65536-4629

Mailing Address755 Cowan DrLebanon, MO 65536-4629 · (417) 532-2805

Phone(417) 532-2805

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 3, 2026

NPPES CertifiedFebruary 3, 2026

✔ NPI 1093666422 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 MO · 2026005067

755 COWAN DR, Lebanon, MO 65536

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haden Kirk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153802475

PECOS Enrollment IDI20260225001873

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 65536 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 6

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

DR. MICHEAL J DURHAM D.O.

Family Medicine