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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAUREN E KIRBY FNP-C
NPI 1164813317
Nurse Practitioner in Sherman, TX

Active since February 10, 2015PECOS EnrolledAccepts Medicare Assignment
78.15/100
CMS Quality Rating
204 MEDICAL DR STE 140, SHERMAN, TX 75092(903) 361-0120(903) 361-0119 Get Directions Write a Review

NPPES record last updated: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2026, Oct 9, 2020, Jan 15, 2018 (3 updates tracked since 2018).

About Lauren E Kirby Fnp-c NPPES

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

LAUREN E KIRBY FNP-C (NPI 1164813317) is an individual nurse practitioner in Sherman, Texas, licensed in Texas (AP127392) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164813317
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAUREN E KIRBYCredential: FNP-C
Location Address204 MEDICAL DR STE 140Sherman, TX 75092-6372
Mailing Address204 Medical Dr Ste 140Sherman, TX 75092-6372 · (903) 361-0120 · Fax (903) 361-0119
Phone(903) 361-0120
Fax(903) 361-0119
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 10, 2015
Last NPPES UpdateAugust 1, 20263 updates tracked since enumeration
NPPES CertifiedAugust 1, 2026
✔ NPI 1164813317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP127392
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
204 MEDICAL DR STE 140, Sherman, TX 75092
Open in Google Maps ↗

Other Names 1

Former Name (1)Lauren E Medford Fnp-c

Other Identifiers 1

Medicaid3465338-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., UnitedHealthcare.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

Lauren E Kirby Fnp-c 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 ID648590653
PECOS Enrollment IDI20150514001574
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
256 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
99 services57 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
74 services42 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
30 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services26 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
28 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Wilson N Jones Regional Medical Center

Acute Care Hospitals · Sherman, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450469
Location500 N Highland AvenueSherman, TX 75091 · Grayson County
Emergency services Birthing friendly

Baylor Scott And White Surgical Hospital At Sherma

Acute Care Hospitals · Sherman, TX
2/5 CMS rating
OwnershipPhysician
CMS Certification Number670076
Location3601 Calais DriveSherman, TX 75090 · Grayson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75092 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

78.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.66
Promoting Interoperability100
Improvement Activities40
Cost44.52

Other Providers at the Same Location NPPES 3

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

VERITAS FAMILY MEDICINE, LLP
Family Medicine
204 MEDICAL DR STE 140
SHERMAN, TX 75092
Grayson County (903) 361-0120
MEGAN TALLY WHITTINGTON DO
Family Medicine
204 MEDICAL DR STE 140
SHERMAN, TX 75092
Grayson County (903) 361-0120
MRS. MELODY DAWN BARKER FNP-C
Nurse Practitioner (Family)
204 MEDICAL DR STE 140
SHERMAN, TX 75092
Grayson County (903) 361-0120

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 Lauren Kirby's NPI number?

The NPI number for Lauren Kirby is 1164813317. It was assigned to this individual provider in the NPPES registry on February 10, 2015. The provider is also known as Lauren E Medford Fnp-C.

Where is Lauren Kirby located?

Lauren Kirby practices at 204 Medical Dr Ste 140, Sherman, TX 75092. The listed phone number is (903) 361-0120.

What is Lauren Kirby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lauren Kirby enrolled in Medicare?

Yes. Lauren Kirby 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 Lauren Kirby accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and UnitedHealthcare list Lauren Kirby 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.

Is Lauren Kirby affiliated with any hospitals?

According to CMS data, Lauren Kirby is affiliated with Texoma Medical Center, Wilson N Jones Regional Medical Center and Baylor Scott And White Surgical Hospital At Sherma.

When was this NPI record last updated?

The NPPES record for Lauren Kirby was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.