MARY V KIRKWOOD (MD) – Psychiatry Physician, NPI 1811922925

MARY V KIRKWOOD (MD) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 41594-020 (WI). The NPI Number for MARY V KIRKWOOD (MD) is 1811922925

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MARY V KIRKWOOD (MD)
NPI
1811922925
Phone
(920) 926-4200
Address
420 E DIVISION ST
Enumeration Date
11 July 2006
Last Update Date
22 October 2020

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9209264100
Graduation Year
1998 (28 years ago)
PAC ID
2668475211
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20060821000319
Address ID
WI539631702WA620XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
mkirkwood331738@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

677 PSYCHIATRY in WI

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Provider Addresses for MARY V KIRKWOOD (MD)

  • Fond-du-Lac, Northern Saskatchewan Administration District, Saskatchewan, Canada

    FOND DU LAC, WI 549354560

    Phone: (920) 926-4200

    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: 2006-08-21

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
I20060821000319IPsychiatryWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes258105$0
99213Established patient office or other outpatient visit, 20-29 minutes3223$0
90833Psychotherapy with evaluation and management visit, 30 minutes1814$0
View full utilization report →

Insurance plans in this area (ZIP 54935)

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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: 1658289624View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND
Nephrology, Internal MedicineWI
Family PracticeWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARY V KIRKWOOD (MD)?
MARY V KIRKWOOD (MD) — NPI 1811922925 — is the standard way to identify this listing.
Does CMS list MARY V KIRKWOOD (MD) as active?
Yes — MARY V KIRKWOOD (MD) is active in the NPI listing used on this page.
What is MARY V KIRKWOOD (MD)'s specialty?
The listing groups MARY V KIRKWOOD (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MARY V KIRKWOOD (MD)?
MARY V KIRKWOOD (MD)'s geographic hint is Fond Du Lac, Wisconsin in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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