COURTNEY DIANA KIRKLAND – Physician Assistant, NPI 1083278311

COURTNEY DIANA KIRKLAND is a healthcare provider. based in Fort worth, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA5976963 (TX). The NPI Number for COURTNEY DIANA KIRKLAND is 1083278311

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY DIANA KIRKLAND
NPI
1083278311
Phone
(940) 626-8073
Address
9525 N Beach St Ste 405
Enumeration Date
22 April 2019
Last Update Date
16 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9406268073
Graduation Year
2020 (6 years ago)
PAC ID
9537589536
Group Practice PAC ID
6002194388
Professional Enrollment ID
I20201013001603
Address ID
TX761778652FO3424XPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for COURTNEY DIANA KIRKLAND

  • 9525 N Beach St Ste 405

    Fort Worth, TX 762446438

    Phone: (940) 626-8073

    Fax: (940) 626-8137

    Type: Location

  • 2347, Wingfoot Place, Leslie, Decatur, DeKalb County, Georgia, 30035, United States

    DECATUR, TX 762346161

    Phone: (940) 626-8073

    Fax: (940) 626-8137

    Type: Mailing

  • 100, South FM 51, Decatur, Wise County, Texas, 76234, United States

    DECATUR, TX 762343778

    Phone: (940) 626-8073

    Fax: (940) 626-8137

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 280 Open Payments records for all available years, with a total value of $4,236.

Total Amount is formed as General ($4,236) + Research ($0) + Ownership ($0) = $4,236.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($766).

Total Amount

$4,236

General + Research + Ownership

Payments

280

Total payment records

General Amount

$4,236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2020-10-13

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
I20201013001603IPhysician AssistantTXTBD

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 76244)

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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: 6002194388View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerNM
R H E U M A T O L O G YTX
R H E U M A T O L O G YTX
Nurse PractitionerTX
Rheumatology, Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What number should I use to identify COURTNEY DIANA KIRKLAND for billing?
Administrative and clinical systems typically use NPI 1083278311 for COURTNEY DIANA KIRKLAND.
Is COURTNEY DIANA KIRKLAND currently accepting referrals based on NPI status?
Registry metadata lists COURTNEY DIANA KIRKLAND as active.
How should patients interpret COURTNEY DIANA KIRKLAND's specialty?
The extract shows Physician Assistant for COURTNEY DIANA KIRKLAND. Clinical services aligned with this taxonomy classification.
What geographic area is tied to COURTNEY DIANA KIRKLAND?
COURTNEY DIANA KIRKLAND is associated with Fort Worth, Texas in the same public data insurers reference.
Can I export COURTNEY DIANA KIRKLAND's record?
You can download the official NPPES record; we summarize key fields for readability.

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