1. Home
  2. Directory
  3. New York
  4. Elmhurst
  5. Nurse Practitioner
  6. NPI Profile

MRS. JACQUELINE MARIE KIRK
NPI 1720413743
Nurse Practitioner - Women's Health in Elmhurst, NY

Active since September 10, 2013PECOS Enrolled
7901 BROADWAY ANEX O 3RD FLOOR, ELMHURST, NY 11373(718) 334-3148 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Jacqueline Marie Kirk NPPES

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

MRS. JACQUELINE MARIE KIRK (NPI 1720413743) is an individual women's health provider in Elmhurst, New York, licensed in New York (F306406-1) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720413743
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. JACQUELINE MARIE KIRK
Location Address7901 BROADWAY ANEX O 3RD FLOORElmhurst, NY 11373
Mailing Address1 Barberry LaneSea Cliff, NY 11579 · (516) 674-4914
Phone(718) 334-3148
Sole ProprietorNo
Enumeration DateSeptember 10, 2013
✔ NPI 1720413743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NY · F306406-1
7901 BROADWAY ANEX O 3RD FLOOR, Elmhurst, NY 11373
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacqueline Marie 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Kirk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Medical Professionals PLLC
10 mi
Urology
1 HOLLOW LANE, SUITE 206
Lake Success, NY 11042
  • Reassigned Medicare billing, New York enrollment
  • 84 clinicians in this Medicare group
NPI 1346203536 (516) 931-0041

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 11373 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Jacqueline Kirk's NPI number?

The NPI number for Jacqueline Kirk is 1720413743. It was assigned to this individual provider in the NPPES registry on September 10, 2013.

Where is Jacqueline Kirk located?

Jacqueline Kirk practices at 7901 Broadway Anex O 3rd Floor, Elmhurst, NY 11373. The listed phone number is (718) 334-3148.

What is Jacqueline Kirk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Jacqueline Kirk enrolled in Medicare?

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

Which organization bills Medicare for Jacqueline Kirk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Kirk reassigns Medicare benefits to Integrated Medical Professionals PLLC (Lake Success, NY). The 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 Jacqueline Kirk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Kirk was last updated on September 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.