NPIMap

Individual provider Active NPI

Kimberly Anne Irvine, FNP-C

  • Family Nurse Practitioner
  • Harwich Port, MA
National Provider Identifier
1770834384
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2282034 Issued in MA
Practice address
710 Route 28
Harwich Port, MA 02646-1931
Phone
(508) 432-1400
Fax
(508) 487-6298
NPI assigned
Sep 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2282034 MA Primary

Addresses

Primary practice location

710 Route 28
Harwich Port, MA 02646-1931

Mailing address

PO Box 2796
Orleans, MA 02653-6796
Phone (508) 432-1400

Other identifiers 1

IdentifierTypeStateIssuer
110156758AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191023002237 MA Practitioner - Nurse Practitioner 5395978803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outer Cape Health Services IncGroup PAC ID 4385554971, 51 clinicians

Practice addresses (Care Compare)

710 Route 28
Harwich Port, MA 02646-1931
Phone (508) 432-1400

Hospital & facility affiliations

  • Bayada Home Health Care , Inc Home health agency, Hyannis, MA, CCN 227466
  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Outer Cape Health Services CurrentSince Sep 23, 2019 Accepting new patients
Outer Cape Health Services, Inc. CurrentSince Sep 23, 2019 Accepting new patients
Outer Cape Health Services, Inc. Current Accepting new patients
Brewster Medical Associates, PC PastSince Jan 7, 1998 Accepting new patients

Locations

49 Harry Kemp Way
Provincetown, MA 02657
Phone (508) 487-9395

Interoperability endpoints

  • Direct secure messaging: kirvine367805@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1770834384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2796",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026536796",
            "telephone_number": "508-432-1400",
            "fax_number": "508-487-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ROUTE 28",
            "city": "HARWICH PORT",
            "state": "MA",
            "postal_code": "026461931",
            "telephone_number": "508-432-1400",
            "fax_number": "508-487-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2282034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110156758A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harwich Port, MA

Sources for this page

Verify at the official NPI Registry.