KEVIN J DIRKSEN (ARNP) – Acute Care Nurse Practitioner, NPI 1063992857

KEVIN J DIRKSEN (ARNP) is a healthcare provider. based in Waterloo, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 6124 (MN). The NPI Number for KEVIN J DIRKSEN (ARNP) is 1063992857

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN J DIRKSEN (ARNP)
NPI
1063992857
Phone
(757) 561-4487
Address
3421 W 9TH ST
Enumeration Date
21 August 2018
Last Update Date
20 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206933242
Graduation Year
2018 (8 years ago)
PAC ID
8527311299
Group Practice PAC ID
0840109740
Professional Enrollment ID
I20181025002306
Address ID
MN553553340LI612XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:7State licenses:3Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

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Provider Addresses for KEVIN J DIRKSEN (ARNP)

  • MercyOne Waterloo Medical Center, 3421, West 9th Street, Waterloo, Black Hawk County, Iowa, 50702, United States

    WATERLOO, IA 507025401

    Phone: (757) 561-4487

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181025002306INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2216$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2014$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 50702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840109740View full group profile
NameSpecialtyState
-MN
Nurse PractitionerMN
Nurse PractitionerWI
Nurse PractitionerMN
Obstetrics/Gynecology, General PracticeMN
-MN
Family PracticeMN
Family PracticeMN
Family PracticeMN
General SurgeryMN

Reviews

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Frequently asked questions

What unique ID ties claims to KEVIN J DIRKSEN (ARNP)?
NPI 1063992857 is assigned to KEVIN J DIRKSEN (ARNP) under the national enumeration system.
Is KEVIN J DIRKSEN (ARNP)'s NPI currently valid?
The extract we use shows KEVIN J DIRKSEN (ARNP) as active.
What kind of provider is KEVIN J DIRKSEN (ARNP)?
The page reflects Acute Care Nurse Practitioner for KEVIN J DIRKSEN (ARNP). Clinical services aligned with this taxonomy classification.
What location shows for KEVIN J DIRKSEN (ARNP)?
We surface Waterloo, Iowa for KEVIN J DIRKSEN (ARNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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