Kevin M Dirksen

APRN-CNP | Nurse Practitioner | 6+ years Exp

801 Pro Dr Ste D2, Celina
  Ohio, 45822-3307
419-586-6480
Accepts Medicare Nurse Anesthetist in Celina, Ohio.
Kevin M Dirksen is a Celina, Ohio based nurse practitioner with 6 years of experience in . He completed his graduation in 2018. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kevin M Dirksen is APRN.CNP.023488 in Ohio. His current practice location is 801 Pro Dr Ste D2, Celina. Patients can reach him at 419-586-6480 or can fax him at 419-586-8574. Kevin M Dirksen is APRN-CNP and his NPI number (Unique professional ID assigned by NPPES) is 1053891168.
Kevin M Dirksen has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kevin M Dirksen speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Kevin M Dirksen
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: APRN-CNP
Experience: 6+ years
Medical School Attended:Other
Graduation Year:2018
Accepts Medicare Assignment:Yes
Practice Address:801 Pro Dr Ste D2, Celina,
Ohio, 45822-3307
Phone:419-586-6480
Fax:419-586-8574
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 3577815174
Enrollment ID: I20181009003616
NPI Number: 1053891168
NPI Enumeration Date: 17 Aug, 2018
NPI Last Update On: 10 Aug, 2020

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin M Dirksen are as mentioned below.
License NumberSpecializationStateStatus
APRN.CNP.023488 OhioPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(360058)Coldwater, OHAcute Care Hospital
(360032)Saint marys, OHAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Kevin M Dirksen is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Jtdm Family Practice Llc (2163415837)35
Mercer County Joint Township Community Hospital (8820081755)53
Other Medical Identifiers:
Other legacy medical identifiers associated with Kevin M Dirksen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
0105065OtherOhioGROUP MEDICAID - JTDM FAMILY PRACTICE, LLC
0313733MedicaidOhio
9934723OtherOhioGROUP PTAN - JTDM FAMILY PRACTICE, LLC
H674260OtherOhioMEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Kevin M Dirksen
200 Saint Clair Ave,
Saint Marys, Ohio
Zip: 45885-2400
Phone Number: 419-300-1129
Fax Number: 419-394-9575
Patients can reach Kevin M Dirksen at 801 Pro Dr Ste D2, Celina, Ohio or can call to book an appointment on 419-586-6480.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.