ETHAN KIRK
NPI 1396448320
Student in an Organized Health Care Education/Training Program in Wilmington, DE

Active since March 27, 2023PECOS Enrolled
501 W 14TH ST, WILMINGTON, DE 19801(302) 733-1000 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Kirk NPPES

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

ETHAN KIRK (NPI 1396448320) is an individual student in an organized health care education/training program in Wilmington, Delaware and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396448320
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN KIRK
Location Address501 W 14TH STWilmington, DE 19801-1013
Mailing Address501 W 14th StWilmington, DE 19801-1013
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
NPI 1396448320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
501 W 14TH ST, Wilmington, DE 19801

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

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.

Rehabilitation Unit
501 W 14TH ST
WILMINGTON, DE 19801
Internal Medicine
501 W 14TH ST, ROOM 5236
WILMINGTON, DE 19801
Nurse Practitioner (Family)
501 W 14TH ST, EMERGENCY DEPARTMENT
WILMINGTON, DE 19801
Student in an Organized Health Care Education/Training Program
501 W 14TH ST
WILMINGTON, DE 19801
Nurse Practitioner
501 W 14TH ST
WILMINGTON, DE 19801
Internal Medicine
501 W 14TH ST, WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE
WILMINGTON, DE 19801
Nurse Practitioner (Adult Health)
501 W 14TH ST, WILMINGTON HOSPITAL RM 2244
WILMINGTON, DE 19801
Student in an Organized Health Care Education/Training Program
501 W 14TH ST
WILMINGTON, DE 19801

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 Ethan Kirk's NPI number?

The NPI number for Ethan Kirk is 1396448320. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Ethan Kirk located?

Ethan Kirk practices at 501 W 14th St, Wilmington, DE 19801. The listed phone number is (302) 733-1000.

What is Ethan Kirk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Kirk enrolled in Medicare?

Yes. Ethan Kirk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Kirk was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.