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MK-UROLOGY LLC
NPI 1871039024
Nurse Practitioner in Monson, MA

Active since January 12, 2017
218 CEDAR SWAMP RD, MONSON, MA 01057(413) 237-3232 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mk-urology Llc NPPES

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

MK-UROLOGY LLC (NPI 1871039024) is a healthcare organization registered as a nurse practitioner in Monson, Massachusetts and active in the NPI registry since January 2017. The organization lists Melissa Blackburn-kierkla, Owner, as its authorized official.

NPPES Registry Identity

NPI1871039024
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMK-UROLOGY LLC
Location Address218 CEDAR SWAMP RDMonson, MA 01057-9307
Mailing Address218 Cedar Swamp RdMonson, MA 01057-9307 · (413) 237-3232
Phone(413) 237-3232
Organization SubpartNo
Authorized OfficialMelissa Blackburn-kierklaOwner · (413) 237-3232
Enumeration DateJanuary 12, 2017
✔ NPI 1871039024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
218 CEDAR SWAMP RD, Monson, MA 01057
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mk-urology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mk-Urology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melissa Blackburn Kierkla, NP
Nurse Practitioner
NPI 1164461273
218 CEDAR SWAMP RD
Monson, MA 01057
(413) 237-3232
✔ PECOSSame address

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

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 Mk-Urology LLC's NPI number?

The NPI number for Mk-Urology LLC is 1871039024. It was assigned to this organization in the NPPES registry on January 12, 2017.

Where is Mk-Urology LLC located?

Mk-Urology LLC is located at 218 Cedar Swamp Rd, Monson, MA 01057. The listed phone number is (413) 237-3232.

What is Mk-Urology LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mk-Urology LLC enrolled in Medicare?

Yes. Mk-Urology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mk-Urology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mk-Urology LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mk-Urology LLC was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.