MR. ROGER WAYNE KIRK JR. CRNP
NPI 1790947620
Nurse Practitioner - Pediatrics in Troy, AL
About Mr. Roger Wayne Kirk Jr. Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ROGER WAYNE KIRK JR. CRNP (NPI 1790947620) is an individual pediatrics provider in Troy, Alabama, licensed in Alabama (1-079245) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mr. Roger Wayne Kirk Jr. Crnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Roger Kirk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dothan, AL 36303
- Reassigned Medicare billing, Alabama enrollment
- 38 clinicians in this Medicare group
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 36081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Roger Kirk's NPI number?
The NPI number for Roger Kirk is 1790947620. It was assigned to this individual provider in the NPPES registry on July 1, 2008.
Where is Roger Kirk located?
Roger Kirk practices at 1340 Highway 231 S Ste 1, Troy, AL 36081. The listed phone number is (334) 770-7337.
What is Roger Kirk's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Roger Kirk enrolled in Medicare?
Yes. Roger 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.
Which organization bills Medicare for Roger Kirk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roger Kirk reassigns Medicare benefits to Dothan Pediatric Clinic, P. A. (Dothan, AL). 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 Roger Kirk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roger Kirk accept?
Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Roger 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 Roger Kirk was last updated on February 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mr. Roger Wayne Kirk Jr., CRNP · NPI 1790947620
Pediatrics physician in Troy, Alabama. Individual provider, active in the CMS NPPES registry since July 1, 2008.
## Identity
- **NPI:** 1790947620 (Entity type: Individual)
- **Enumerated:** July 1, 2008
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 1-079245 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1340 HIGHWAY 231 S STE 1, Troy, AL 36081-3012
- **Phone:** (334) 770-7337 · **Fax:** (334) 770-7339
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dothan Pediatric Clinic, P. A. (NPI 1376508788, Dothan, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** February 17, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1790947620) · Data from the CMS NPPES public registry.