Look up the most recent NPI and PECOS records

Kirbi Alexandria Kersey

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1001 Saint Joseph Ln, London, KY 40741-8345

PECOS Enrollment

This provider is enrolled in PECOS as KIRBI KERSEY.

Based on the most recent information from CMS, provider Kirbi Alexandria Kersey is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1851770051
Provider Type
Individual
Full Name
Kersey, Kirbi Alexandria
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
5/21/2015
Last Updated
4/29/2021

Contact Information

Practice Location

1001 Saint Joseph Ln, London, KY 40741-8345

(606) 330-6000

Unlisted Fax

Mailing Location

1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984

(865) 985-7363

(865) 985-7077

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3009246 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 13719720	Description Other	Issuer CAQH ID
ID 7100354600	Description Medicaid	Issuer Unlisted Kentucky
ID K132810	Description Other	Issuer MEDICARE ID Kentucky

Kirbi Alexandria Kersey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Green, Makayla Jean

Prewitt, Adam

Physician Express Care Billing

Sjl Physician Management Services, Inc.

Owens, Melissa

Brock, Nadine

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Gambrel, Kyra N