Individual provider Active NPI

Jodi Frances Kirk, FNP

  • Family Nurse Practitioner
  • Hermiston, OR
National Provider Identifier
1164973558
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10045902 Issued in OR
Practice address
1623 N 1St St
Hermiston, OR 97838-1106
Phone
(458) 300-9014
Fax
(458) 300-9015
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP70018808 WA
Family Nurse Practitioner 363LF0000X 10045902 OR Primary
Family Nurse Practitioner 363LF0000X AP9019 AZ

Addresses

Primary practice location

1623 N 1St St
Hermiston, OR 97838-1106

Mailing address

1623 N 1St St
Hermiston, OR 97838-1106
Phone (458) 300-9014

Other practice location 1

2835 Barn Dance Blvd
Cheyenne, WY 82009-1140
Phone (720) 986-0850

Other practice location 2

3805 E Bell Rd
#5500
Phoenix, AZ 85032-2105
Phone (866) 891-1336

Other practice location 3

9401 W Thunderbird Rd Ste 180
Peoria, AZ 85381-4210
Phone (623) 516-8252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT, HI, WA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170106000992 AZ Practitioner - Nurse Practitioner 1355622374 Reassigns benefits to 3 organizations
I20211119001639 UT Practitioner - Nurse Practitioner 1355622374 Reassigns benefits to 2 organizations
I20250722000919 HI Practitioner - Nurse Practitioner 1355622374 Reassigns benefits to 1 organization
I20260316000351 WA Practitioner - Nurse Practitioner 1355622374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kittitas Valley Urgent Care PLLCGroup PAC ID 5092093542, shared by 3 NPIs, 24 clinicians

Practice addresses (Care Compare)

702 E Mountain View Ave
Ellensburg, WA 98926-3862
Phone (509) 968-5273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP9019AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Acute Medical Services 1 PC CurrentSince Feb 1, 2021 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Oct 15, 2021 Accepting new patients
Workstar Occupational Health Systems Inc CurrentSince Jun 23, 2025 Accepting new patients
Modern Vascular of Tucson, LLC CurrentSince Oct 19, 2019 Accepting new patients
Tellica Imaging - Washington LLC CurrentSince Jan 12, 2026 Accepting new patients
Emergency Group of Arizona Professional Corporation Nurse Practitioner CurrentSince Dec 28, 2020 Accepting new patients
Tellica Imaging - Washington LLC CurrentSince Jan 12, 2026 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Oct 15, 2021 Accepting new patients
Compassionate Concierge Physicians, LLC Nurse Practitioner CurrentSince Feb 15, 2024 Accepting new patients
Compassionate Concierge Physicians, LLC CurrentSince Feb 15, 2024 Accepting new patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients
Taylor G Wright PC Nurse Practitioner PastSince Feb 1, 2023 Accepting new patients
Orem Medical Properties LLC Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

2171 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 201-4980

26500 Agoura Rd
Ste 102587
Calabasas, CA 91302
Phone (818) 880-8605

75-184 Hualalai Rd
Ste 302
Kailua Kona, HI 96740
Phone (808) 329-0111

599 Farrington Hwy
Ste 2
Kapolei, HI 96707
Phone (808) 676-5331

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1164973558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 N 1ST ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381106",
            "telephone_number": "458-300-9014",
            "fax_number": "458-300-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 N 1ST ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381106",
            "telephone_number": "458-300-9014",
            "fax_number": "458-300-9015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 Barn Dance Blvd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820091140",
            "country_code": "US",
            "telephone_number": "720-986-0850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3805 E Bell Rd",
            "address_2": "#5500",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322105",
            "country_code": "US",
            "telephone_number": "866-891-1336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9401 W Thunderbird Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814210",
            "country_code": "US",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "JODI",
        "middle_name": "FRANCES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70018808",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10045902",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.