DR. KRISTINE K VAN KIRK M.D.
NPI 1003078148
Family Medicine - Adult Medicine in Cheyenne, WY
NPI Status: Active since June 30, 2008
Contact Information
6015 SYCAMORE RD
CHEYENNE, WY
ZIP 82009
Phone: (307) 823-2968
- Individual
- Female
- Family Medicine
- Adult Medicine
- Accepts Insurance
- Opted-Out Medicare
- Medicare Quality Reporting
About KRISTINE VAN KIRK
This page provides the complete NPI Profile along with additional information for Kristine Van Kirk, a primary care provider established in Cheyenne, Wyoming with a medical specialization in Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1003078148 assigned on June 2008. The practitioner's primary taxonomy code is 207QA0505X with license number 9074A (WY). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1003078148
- Provider Name
- DR. KRISTINE K VAN KIRK M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6015 SYCAMORE RD CHEYENNE, WY 82009
- Location Phone
- (307) 823-2968
- Mailing Address
- 6015 SYCAMORE RD CHEYENNE, WY 82009
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-30-2008
- Last Update Date
- 01-03-2019
- Code Navigator
A primary care provider (PCP) like Kristine Van Kirk sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kristine Van Kirk opted out of Medicare effective on 05-10-2022 until 05-10-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Adult Medicine
- Taxonomy Code
- 207QA0505X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 9074A
- License State
- WY
- Taxonomy Description
- The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2083B0002X | Allopathic & Osteopathic Physicians | Preventive Medicine | 9074A (WY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value HSA (No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-10-2022
Opt-Out End Date: 05-10-2026
Eligible to Order and Refer? No
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 78% | 162 |
| Cervical Cancer Screening | 66% | 542 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 34% | 673 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 41% | 921 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0% | 489 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0% | 489 |
Reviews for DR. KRISTINE K VAN KIRK M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 7 | 8 | 1 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 7 | 16 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 7 + 1 + 6 + 1 + 8 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1003078148 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861872707 | MARK D RINNE DDS, PC Organization | Dentist (General Practice) | 6015 SYCAMORE RD CHEYENNE, WY 82009 (307) 634-3672 |
| 1659815173 | ZIAD SKAF Individual | Family Medicine | 6015 SYCAMORE RD 1ST FLOOR CHEYENNE, WY 82009 (307) 514-1300 |
| 1023553799 | NORTH CHEYENNE MEDICAL Organization | Clinic/Center (Primary Care) | 6015 SYCAMORE RD 1ST FLOOR CHEYENNE, WY 82009 (307) 514-1300 |
| 1912478819 | HEALTHY LIFESTYLE MEDICINE Organization | Family Medicine (Adult Medicine) | 6015 SYCAMORE RD CHEYENNE, WY 82009 (307) 823-2968 |
| 1225699184 | DR. BENJAMIN ESCOBEDO DDS Individual | Dentist (General Practice) | 6015 SYCAMORE RD CHEYENNE, WY 82009 (307) 634-3672 |
| 1154052314 | CHEYENNE FAMILY DENTISTRY Organization | Dentist (General Practice) | 6015 SYCAMORE RD CHEYENNE, WY 82009 (307) 634-3672 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003078148, enumerated in the NPI registry as an "individual" on June 30, 2008
The provider is located at 6015 Sycamore Rd Cheyenne, Wy 82009 and the phone number is (307) 823-2968
The provider's speciality is Family Medicine with taxonomy code 207QA0505X with a focus in Adult Medicine
The provider might be accepting Accepts: Mountain Health CO-OP and UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider obtained a high score in the following performance measures: Breast Cancer Screening. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
No, the provider signed an affidavit on May 10, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 10, 2026.
This NPI record was last updated on June 30, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.