WILLIAM D. KIRK M.D., PLLC
NPI 1417043886
Nurse Practitioner - Family in Lebanon, KY
About William D. Kirk M.d., Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM D. KIRK M.D., PLLC (NPI 1417043886) is a healthcare organization registered as a family in Lebanon, Kentucky and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists William Deadrick Kirk, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 6
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William D. Kirk M.d., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to William D. Kirk M.D., PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 18D0320438
William D Kirk MD PLLC · Lebanon, KYFrequently 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 William D. Kirk M.D., PLLC's NPI number?
The NPI number for William D. Kirk M.D., PLLC is 1417043886. It was assigned to this organization in the NPPES registry on October 5, 2006.
Where is William D. Kirk M.D., PLLC located?
William D. Kirk M.D., PLLC is located at 312 W High St, Lebanon, KY 40033. The listed phone number is (270) 692-9559.
What is William D. Kirk M.D., PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is William D. Kirk M.D., PLLC enrolled in Medicare?
Yes. William D. Kirk M.D., PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through William D. Kirk M.D., PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to William D. Kirk M.D., PLLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does William D. Kirk M.D., PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D0320438) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does William D. Kirk M.D., PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list William D. Kirk M.D., PLLC 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 William D. Kirk M.D., PLLC was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# William D. Kirk M.d., Pllc · NPI 1417043886
Family organization in Lebanon, Kentucky. Organization record, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1417043886 (Entity type: Organization)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** William Kirk, OWNER
## Practice location
- **Address:** 312 W HIGH ST, Lebanon, KY 40033-1428
- **Phone:** (270) 692-9559 · **Fax:** (270) 692-9236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2015
- **Other identifiers:** Other 50001390 (KY); Medicaid 78903242 (KY); Medicare UPIN C74393 (KY); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417043886) · Data from the CMS NPPES public registry.