SEAN CAMPBELL KIRK
NPI 1659146314
Nurse Anesthetist, Certified Registered in Colton, CA

Q: What is Sean Kirk's NPI number?

The NPI number for Sean Kirk is 1659146314. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Q: What is Sean Kirk's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Kirk was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 21, 2023Accepts Medicare Assignment

400 N PEPPER AVE, COLTON, CA 92324(877) 873-2762 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sean Campbell Kirk NPPES

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

SEAN CAMPBELL KIRK (NPI 1659146314) is an individual nurse anesthetist, certified registered in Colton, California, licensed in California (95071128) and active in the NPI registry since November 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1659146314

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameSEAN CAMPBELL KIRK

Location Address400 N PEPPER AVEColton, CA 92324-1801

Mailing Address26330 Long StLoma Linda, CA 92354-6565 · (707) 299-8910

Phone(877) 873-2762

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 21, 2023

NPPES CertifiedNovember 21, 2023

✔ NPI 1659146314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in CA · 95071128

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

400 N PEPPER AVE, Colton, CA 92324

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Campbell Kirk 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 ID4284076712

PECOS Enrollment IDI20240529001948

Medicare Billing Reassignments

Medicare enrollment records show Sean Kirk reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile

2.9 mi

Nurse Anesthetist, Certified Registered

900 E WASHINGTON ST, STE. 100
Colton, CA 92324

Reassigned Medicare billing, California enrollment
13 clinicians in this Medicare group

NPI 1104832039 (909) 370-2190

Aria Anesthesia Group Inc

33 mi

Pain Medicine

18400 US HIGHWAY 18 STE B
Apple Valley, CA 92307

Reassigned Medicare billing, California enrollment
30 clinicians in this Medicare group

NPI 1407124712 (949) 588-2190

Coachella Valley Anesthesia A Professional Corporation

131 mi

Anesthesiology

420 34TH ST
Bakersfield, CA 93301

Reassigned Medicare billing, California enrollment
183 clinicians in this Medicare group

NPI 1013662048 (760) 538-5898

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

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 20

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

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