AUTUMN NICHOLE KIRK FNP
NPI 1912482936
Nurse Practitioner - Family in Knox, IN

Active since September 25, 2018PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
104 E CULVER RD STE 102, KNOX, IN 46534(574) 772-7918(574) 772-0894 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2020, Sep 18, 2020, Sep 10, 2020 and 2 more (5 updates tracked since 2018).

About Autumn Nichole Kirk Fnp NPPES

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

AUTUMN NICHOLE KIRK FNP (NPI 1912482936) is an individual family provider in Knox, Indiana, licensed in Indiana (71008625A) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912482936
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAUTUMN NICHOLE KIRKCredential: FNP
Location Address104 E CULVER RD STE 102Knox, IN 46534-2241
Mailing Address2022 Kelle DrChesterton, IN 46304-8708 · (219) 364-4004 · Fax (219) 326-2584
Fax(574) 772-0894
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 25, 2018
Last NPPES UpdateOctober 7, 20205 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
NPI 1912482936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71008625A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28172692A (IN)
104 E CULVER RD STE 102, Knox, IN 46534

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Autumn Nichole Kirk Fnp 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 ID9133466501
PECOS Enrollment IDI20190123001194
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
203 services129 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
115 services78 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
51 services51 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
49 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46534 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
104 E CULVER RD STE 102
KNOX, IN 46534
Nurse Practitioner (Family)
104 E CULVER RD STE 102
KNOX, IN 46534
Nurse Practitioner (Family)
104 E CULVER RD STE 102
KNOX, IN 46534
Family Medicine
104 E CULVER RD STE 102
KNOX, IN 46534
Nurse Practitioner (Family)
104 E CULVER RD STE 102
KNOX, IN 46534
Nurse Practitioner (Family)
104 E CULVER RD STE 102
KNOX, IN 46534
Nurse Practitioner (Family)
104 E CULVER RD STE 102
KNOX, IN 46534

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 Autumn Kirk's NPI number?

The NPI number for Autumn Kirk is 1912482936. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Autumn Kirk located?

Autumn Kirk practices at 104 E Culver Rd Ste 102, Knox, IN 46534. The listed phone number is (574) 772-7918.

What is Autumn Kirk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Autumn Kirk enrolled in Medicare?

Yes. Autumn 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.

Is Autumn Kirk affiliated with any hospitals?

According to CMS data, Autumn Kirk is affiliated with Northwest Health-La Porte, Saint Joseph Regional Medical Center and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Autumn Kirk was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.