KEVIN M DIRKSEN (APRN-CNP) – Nurse Practitioner, NPI 1053891168
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for KEVIN M DIRKSEN (APRN-CNP)
801 Pro Dr Ste D2
Celina, OH 458223307
Phone: (419) 586-6480
Fax: (419) 586-8574
Type: Location
Pro Drive, Celina, Mercer County, Ohio, 45822, United States
CELINA, OH 458223307
Phone: (419) 586-6480
Fax: (419) 586-8574
Type: Location
830 W MAIN ST
COLDWATER, OH 458281626
Phone: (419) 678-8446
Fax: (419) 678-5996
Type: Location
200, Saint Clair Avenue, Saint Marys, Auglaize County, Ohio, 45885, United States
SAINT MARYS, OH 458852400
Phone: (419) 300-1129
Fax: (419) 394-9575
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $328.
Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Novo Nordisk Inc ($208).
Total Amount
$328
General + Research + Ownership
Payments
19
Total payment records
General Amount
$328
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $208 |
| Lilly USA, LLC | $62 |
| Currax Pharmaceuticals LLC | $15 |
| NESTLE HEALTHCARE NUTRITION INC. | $15 |
| Intuitive Surgical, Inc. | $14 |
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: 2018-10-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181009003616 | I | Nurse Practitioner | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 101 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 57 | 56 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 41 | 29 | $0 |
Insurance plans in this area (ZIP 45822)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | OH | |
| Family Practice | OH | |
| Family Practice | IL | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice | OH | |
| Family Practice | OH | |
| Physical Medicine And Rehabilitation | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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