Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tiffany Renee Kirk

Individual provider Family Nurse Practitioner · NPI 1619491024

Tiffany Renee Kirk is a Nurse Practitioner in Marshfield, Missouri. Qualified in 2017, 9 years ago. Practices with Sgoh Acquisition Inc, a 93-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2017
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Practice location Address checks out

543 W Hubble Dr
Marshfield, MO 65706-1532
Phone: (417) 859-4878
Fax: (417) 859-0889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2715 E Battlefield St, Springfield, MO 65804-3981 — (417) 888-0298

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2017024997 (MO)

Record details

NPI number1619491024
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2017
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing address543 W Hubble Dr, Marshfield, MO 65706-1532

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sgoh Acquisition Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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