MRS. JACQUELINE ELISE KIRK (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1326719964

MRS. JACQUELINE ELISE KIRK (APRN) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 2021099690 (MO). The NPI Number for MRS. JACQUELINE ELISE KIRK (APRN) is 1326719964

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JACQUELINE ELISE KIRK (APRN)
NPI
1326719964
Phone
(314) 525-5050
Address
10004 KENNERLY RD STE 362B
Enumeration Date
23 September 2021
Last Update Date
14 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3145255050
Graduation Year
2018 (8 years ago)
PAC ID
3678964772
Group Practice PAC ID
4486949773
Professional Enrollment ID
I20211228001689
Address ID
MO631282178SA10004RDXX308
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for MRS. JACQUELINE ELISE KIRK (APRN)

  • 10004 KENNERLY RD STE 362B

    SAINT LOUIS, MO 631282178

    Phone: (314) 525-5050

    Fax: (314) 525-5072

    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)

CMS reports 164 Open Payments records for all available years, with a total value of $3,673.

Total Amount is formed as General ($3,673) + Research ($0) + Ownership ($0) = $3,673.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($626).

Total Amount

$3,673

General + Research + Ownership

Payments

164

Total payment records

General Amount

$3,673

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-12-28

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
I20211228001689INurse 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.

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 minutes10635$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes7732$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes3333$0
90792Psychiatric diagnostic evaluation with medical services2020$0
View full utilization report →

Insurance plans in this area (ZIP 63128)

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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: 4486949773View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Clinical Social WorkerMO
Clinical Social WorkerMO
Nurse PractitionerMO
Psychiatry, Geriatric PsychiatryMO
P S Y C H I A T R YNM
Nurse PractitionerMO
P S Y C H I A T R YMO
Clinical Social WorkerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I cross-check MRS. JACQUELINE ELISE KIRK (APRN) using NPI 1326719964?
NPI 1326719964 belongs to MRS. JACQUELINE ELISE KIRK (APRN); compare other details if you need extra assurance.
Would MRS. JACQUELINE ELISE KIRK (APRN) appear as active to a payer?
You can treat MRS. JACQUELINE ELISE KIRK (APRN) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MRS. JACQUELINE ELISE KIRK (APRN)'s focus?
For MRS. JACQUELINE ELISE KIRK (APRN), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. JACQUELINE ELISE KIRK (APRN)?
Directory geography for MRS. JACQUELINE ELISE KIRK (APRN) centers on Saint Louis, Missouri.
When was this NPI issued?
Enumeration for MRS. JACQUELINE ELISE KIRK (APRN) is noted as September 23, 2021 where the registry provides it.

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