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Active NPI 1053891168 Individual Practitioner Male Practitioner

Kevin M Dirksen , APRN-CNP

Nurse Practitioner • Coldwater, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kevin Dirksen, APRN-CNP is a certified Nurse Practitioner practicing in Coldwater, OH. With approximately 8 years of clinical experience since completing medical education in 2018, Kevin Dirksen delivers high-quality medical care to the local community at 830 W MAIN ST.

Kevin Dirksen maintains professional affiliations with Jtdm Family Practice Llc, Mercer County Joint Township Community Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

830 W Main St

Coldwater, OH 458281626

Telephone 4196788446
Fax 4196785996
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Coldwater, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs Matches City Avg
City Avg: 8.0 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Coldwater, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dirksen (8 Years) 8 Yrs
Coldwater Specialty Average (8.0 Years) 8.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
111 99 $128.02 $72.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
95 92 $77.00 $45.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
78 34 $106.00 $76.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
47 47 $184.00 $89.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
45 45 $185.91 $101.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes
36 28 $62.00 $40.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
36 35 $200.00 $105.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
34 34 $283.00 $134.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $179.14 $101.17
47562 Removal of gallbladder using an endoscope
11 11 $161.00 $82.47

Medical Specialties & State Licenses

CMS Verified: 2025-10-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH APRN.CNP.023488

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0313733 (OH)
Commercial Insurance / Payer ID Group Medicaid - Jtdm Family Practice, Llc
0105065 (OH)
Commercial Insurance / Payer ID Group Ptan - Jtdm Family Practice, Llc
9934723 (OH)
Commercial Insurance / Payer ID Medicare
H674260 (OH)

Hospital & Practice Group Affiliations

Jtdm Family Practice Llc

801 Pro Dr, Celina, OH 458223307

Phone: 4195866480

Mercer County Joint Township Community Hospital

800 W Main St, Coldwater, OH 458281613

Phone: 4196782341

Secondary Practice Locations

801 Pro Dr Ste D2

Celina, OH 458223307

Phone: 4195866480

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jennifer Bills , CPNP

Nurse Practitioner - Pediatrics

NPI 1831478981

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 09, 2025

Registered at 830 W MAIN ST, COLDWATER, OH 458281626 (Tel: 4196788446)

📍
Updated Business Mailing Address August 10, 2020

Registered at 200 SAINT CLAIR AVE, SAINT MARYS, OH 458852400 (Tel: 4193001129)

📍
Updated Practice Location September 20, 2018

Registered at 801 PRO DR STE D2, CELINA, OH 458223307 (Tel: 4195866480)

👤
Provider Name / Credentials Updated September 20, 2018

Recorded as KEVIN DIRKSEN, APRN-CNP

NPI Profile Active August 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2018

Registered at 801 PRO DR STE D, CELINA, OH 458223301 (Tel: 2602512979)

📍
Updated Business Mailing Address August 17, 2018

Registered at 801 PRO DR STE D, CELINA, OH 458223301 (Tel: 4195866480)

👤
Provider Name / Credentials Updated August 17, 2018

Recorded as KEVIN DIRKSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2018

Nurse Practitioner (License #APRN.CNP.023488 in OH)

🟢
Initial NPI Registration & Enumeration August 17, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053891168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2018
Last Update: October 09, 2025
Sole Proprietor: No

Mailing Address

200 Saint Clair Ave

Saint Marys, OH 458852400

Phone: 4193001129

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.