MARY ALICIA-DANA KIRK NP
NPI 1184190696
Nurse Practitioner - Family in Monroe, MI

Active since October 23, 2018PECOS EnrolledAccepts Medicare Assignment
77.26/100
CMS Quality Rating
1645 N DIXIE HWY STE 2, MONROE, MI 48162(734) 344-7432(734) 344-7431 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2025, Oct 23, 2018 (2 updates tracked since 2018).

About Mary Alicia-dana Kirk Np NPPES

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

MARY ALICIA-DANA KIRK NP (NPI 1184190696) is an individual family provider in Monroe, Michigan, licensed in Michigan (4704298581) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184190696
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ALICIA-DANA KIRKCredential: NP
Location Address1645 N DIXIE HWY STE 2Monroe, MI 48162-5231
Mailing Address1645 N Dixie HwyMonroe, MI 48162-5231 · (734) 344-7432 · Fax (734) 344-7431
Fax(734) 344-7431
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 23, 2018
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
NPI 1184190696 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 MI · 4704298581
1645 N DIXIE HWY STE 2, Monroe, MI 48162

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

Mary Alicia-dana 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 ID6800122656
PECOS Enrollment IDI20190731002765
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 48162 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.24
Promoting Interoperability100
Improvement Activities40
Cost41.96

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
1645 N DIXIE HWY STE 2
MONROE, MI 48162
Social Worker (Clinical)
1645 N DIXIE HWY STE 2
MONROE, MI 48162
Social Worker (Clinical)
1645 N DIXIE HWY STE 2
MONROE, MI 48162
Social Worker
1645 N DIXIE HWY STE 2
MONROE, MI 48162
Social Worker (Clinical)
1645 N DIXIE HWY STE 2
MONROE, MI 48162
Social Worker
1645 N DIXIE HWY STE 2
MONROE, MI 48162
Social Worker
1645 N DIXIE HWY STE 2
MONROE, MI 48162
Physician Assistant
1645 N DIXIE HWY STE 2
MONROE, MI 48162

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 Mary Kirk's NPI number?

The NPI number for Mary Kirk is 1184190696. It was assigned to this individual provider in the NPPES registry on October 23, 2018.

Where is Mary Kirk located?

Mary Kirk practices at 1645 N Dixie Hwy Ste 2, Monroe, MI 48162. The listed phone number is (734) 344-7432.

What is Mary Kirk's specialty?

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

Is Mary Kirk enrolled in Medicare?

Yes. Mary 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 Mary Kirk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company and 1 other insurer list Mary 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 Mary Kirk was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.