Kylie Lynn Jirak, CNM

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A169717 Issued in IA

Practice address

112 Jefferson St
West Union, IA 52175-1022

Phone

(563) 422-3811

NPI assigned

Jun 1, 2018

Last updated

Jan 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA2 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmer Lutheran Health Center IncGroup PAC ID 4284544255, shared by 10 NPIs, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gundersen Palmer Lutheran Hospital and Clinics Hospital, West Union, IA, CCN 161316

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kjirak76597@direct.emplifyhealth.org

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.

• Palmer Lutheran Health Center, Inc.

  dba Gundersen Palmer Lutheran Hospital and Clinics

  • Critical Access Hospital
  • West Union, IA
  • NPI 1598765398
  Medicare reassignment NPD
• Palmer Lutheran Health Center, Inc.

  dba Gundersen Palmer Lutheran Hospital and Clinics

  • Critical Access Hospital
  • West Union, IA
  • NPI 1891744108
  Medicare reassignment NPD

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

• Palmer Lutheran Health Center, Inc.

  dba Gundersen Palmer Lutheran Hospital and Clinics

  • Critical Access Hospital
  • West Union, IA
  • NPI 1598765398
  Care Compare affiliation

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1912499237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "730-060-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON ST",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "521751022",
            "telephone_number": "563-422-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "730-060-8782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIRAK",
        "first_name": "KYLIE",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B130924",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A169717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Gabriel Hershberger, CF-SLP
• Jessica Ann Hummel, NP
• Jennifer S Hutchinson, DNP, ARNP
• Richard Yngve Jacobson Jr., CRNA
• Carol L Jeglum, PAC
• John W Pleggenkuhle DC PC (Pleggenkuhle Chiropractic)
• Angela Frances Kerndt, RD, LD
• Barry Koehn, NRP, CCP
• Amanda Joy Korth, OD
• KT's Therapy Services, LLC

• Family Nurse Practitioner in West Union, IA
• Providers in West Union, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.