Kimberly Catherine Qirushi, APRN-CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

CNP211554 Issued in ME

Practice address

84 Marginal Way Ste 800
Portland, ME 04101-2475

Phone

(207) 774-5816

Fax

(207) 523-8595

NPI assigned

Jan 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Intermed PAGroup PAC ID 5092605261, 185 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.qirushi@int.eclinicaldirectplus.com

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.

• Intermed, PA

  • Internal Medicine Physician
  • South Portland, ME
  • NPI 1467422733
  Medicare reassignment Care Compare group NPD
• Portland Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Portland, ME
  • NPI 1609120856
  Medicare reassignment NPD
• Intermed, PA

  • Pediatrics Physician
  • South Portland, ME
  • NPI 1295607836
  NPD
• Portland Community Health Center

  dba Greater Portland Health

  • Federally Qualified Health Center (FQHC)
  • Portland, ME
  • NPI 1982338240
  NPD

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1720749906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GANNETT DR STE C",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065900",
            "telephone_number": "207-347-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MARGINAL WAY STE 800",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012475",
            "telephone_number": "207-774-5816",
            "fax_number": "207-523-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIRUSHI",
        "first_name": "KIMBERLY",
        "middle_name": "CATHERINE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ME",
            "license": "CNP211554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Purvis, RN
• Suzanne Pushard, LCSW
• Q2 Counseling LLC
• Abd Assalam Qannus, M.D.
• Omesh Qasba, MD
• Quality Care Access, LLC
• Quality Housing Coalition
• Andrea Mary Quast-Mortello, LCSW
• Katherine Quatrano
• Aurora Quaye, M.D.

• Primary Care Nurse Practitioner in Portland, ME
• Providers in Portland, ME by specialty
• Primary Care Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.