Kylie Lynn Jirak, CNM
Individual provider Active NPI Family Nurse Practitioner · West Union, IA
NPI 1912499237 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1912499237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A169717 (IA)
- Practice address
- 112 Jefferson St
West Union, IA 52175-1022 - Phone
- (563) 422-3811
- NPI assigned
- Jun 1, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Palmer Lutheran Health Center Inc
Practice addresses (Care Compare)
110 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3817
111 S Reynolds St
Postville, IA 52162-7737
Phone (563) 864-7512
112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3811
Hospital & facility affiliations
- Gundersen Palmer Lutheran Hospital and Clinics
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180801003508 | IA | Practitioner - Certified Nurse Midwife (CNM) | 2567710916 | Reassigns benefits to 1 organization |
| I20241127003038 | IA | Practitioner - Nurse Practitioner | 2567710916 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmer Lutheran Health Center, Inc. | Current |
Accepting new patients | |
| Palmer Lutheran Health Center, Inc. | Current |
Accepting new patients |
Locations
110 Jefferson St
West Union, IA 52175
Phone (319) 422-3817
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
Interoperability endpoints
- kjirak76597@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | B130924 | IA | |
| Family Nurse Practitioner | 363LF0000X | A169717 | IA | Yes |
Addresses
Primary practice location
112 Jefferson St
West Union, IA 52175-1022
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (730) 060-8782
Other practice location 1
1836 South Ave
LA Crosse, WI 54601-5429
Phone (730) 060-8782
Other providers in West Union, IA
- Todd Gabriel Hershberger
- Jessica Ann Hummel
- Jennifer S Hutchinson
- Richard Yngve Jacobson Jr.
- Carol L Jeglum
- John W Pleggenkuhle DC PC
- Angela Frances Kerndt
- Amanda Joy Korth
- KT'S Therapy Services, LLC
- Holiday Judy Kuhse
All providers in West Union, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.