MARY BETH NEWKIRK – Nurse Practitioner, NPI 1972912830

MARY BETH NEWKIRK is a healthcare provider. based in Fort scott, Kansas. specializing in Nurse Practitioner. They hold a License No. 76441 (KS). The NPI Number for MARY BETH NEWKIRK is 1972912830

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARY BETH NEWKIRK
NPI
1972912830
Phone
(620) 223-8040
Address
403 WOODLAND HILLS BLVD
Enumeration Date
5 August 2014
Last Update Date
14 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6207928833
Graduation Year
2014 (12 years ago)
PAC ID
6608094842
Group Practice PAC ID
5597016378
Professional Enrollment ID
I20140829000191
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MARY BETH NEWKIRK

  • 403 WOODLAND HILLS BLVD

    FORT SCOTT, KS 667018798

    Phone: (620) 223-8040

    Fax: (620) 223-8002

    Type: Location

  • 302 N Hospital Dr

    Girard, KS 667432000

    Phone: (620) 724-8291

    Type: Location

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: 2023-12-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140829000191INurse PractitionerKSTBD
I20231226001046INurse PractitionerMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66701)

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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: 5597016378View full group profile
NameSpecialtyState
Physician AssistantKS
-TN
Nurse PractitionerKS
Nurse PractitionerKS
Physical Therapist In Private PracticeKS
-MS
Nurse PractitionerKS
Emergency Medicine, Family PracticeKS
Physical Therapist In Private PracticeKS
Physician AssistantCO

Reviews

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Frequently asked questions

What is the standard ID for MARY BETH NEWKIRK in the U.S.?
In the U.S., MARY BETH NEWKIRK is identified by NPI 1972912830.
Is MARY BETH NEWKIRK's NPI status active today?
Active status means MARY BETH NEWKIRK's NPI record is not deactivated in the public file.
What services align with MARY BETH NEWKIRK's listing?
MARY BETH NEWKIRK's public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MARY BETH NEWKIRK tied to Fort Scott, Kansas?
If you are local to Fort Scott, Kansas, MARY BETH NEWKIRK may be relevant to your search.
Can I export MARY BETH NEWKIRK's record?
You can download the official NPPES record; we summarize key fields for readability.

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