Individual provider Active NPI

Kjirsten R Ervi, RN

  • Family Nurse Practitioner
  • Fairfax, MO
National Provider Identifier
1669160743
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024028933 Issued in MO
Practice address
26136 US Highway 59
Fairfax, MO 64446-9105
Phone
(660) 686-2211
NPI assigned
Apr 27, 2023
Last updated
Jul 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024028933 MO Primary
Family Nurse Practitioner 363LF0000X A176479 IA
Family Nurse Practitioner 363LF0000X 115483 NE
Family Nurse Practitioner 363LF0000X 5385211121 KS
Registered Nurse 163W00000X 80264 NE

Addresses

Primary practice location

26136 US Highway 59
Fairfax, MO 64446-9105

Mailing address

26136 US Highway 59
Fairfax, MO 64446-9105
Phone (402) 354-4822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231116001741 IA Practitioner - Nurse Practitioner 5890142590 Reassigns benefits to 1 organization
I20241009001940 NE Practitioner - Nurse Practitioner 5890142590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

1 Edmundson PL
306 Methodist Physicians Clinic Heart Care
Council Bluffs, IA 51503-4620
Phone (712) 396-7787

312 S 15TH St
Omaha, NE 68102-2207
Phone (402) 354-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80264NEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Omaha Maple LLC Current Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Medifast Urgent Care LLC CurrentSince Aug 27, 2024 Accepting new patients
Physicians Clinic Inc CurrentSince Dec 31, 2023 Accepting new patients
Iowa Heart Center PC PastSince Apr 1, 2023 Accepting new patients

Locations

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

1 Edmundson Pl
Ste 306
Council Bluffs, IA 51503
Phone (712) 396-7787

1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801

26136 US Highway 59
Fairfax, MO 64446
Phone (660) 686-2211

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

312 S 15th St
Omaha, NE 68102
Phone (402) 354-2273

3830 N 167th Ct
Omaha, NE 68116
Phone (402) 502-2290

5908 S 142nd St
Omaha, NE 68137
Phone (402) 354-1900

727 N 120th St
Omaha, NE 68154
Phone (402) 493-2100

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

Interoperability endpoints

  • Direct secure messaging: kjirsten.ervi@direct.nmhs.org

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1669160743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26136 US HIGHWAY 59",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644469105",
            "telephone_number": "402-354-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26136 US HIGHWAY 59",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644469105",
            "telephone_number": "660-686-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVI",
        "first_name": "KJIRSTEN",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024028933",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A176479",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5385211121",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "80264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, MO

Sources for this page

Verify at the official NPI Registry.