Active NPI
Shelly F Kirk, NP
- Family Nurse Practitioner
- Litchfield Park, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 196692-4405
- Practice address
- 14044 W Camelback Rd Ste 118
Litchfield Park, AZ 85340-9481 - Phone
- (623) 547-2600
- Fax
- (623) 547-1899
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 196692-4405 | UT | Primary |
| Nurse Practitioner | 363L00000X | 1966924405 | UT | |
| Nurse Practitioner | 363L00000X | 238878 | AZ |
Addresses
Primary practice location
14044 W Camelback Rd Ste 118
Litchfield Park, AZ 85340-9481
Mailing address
14044 W Camelback Rd Ste 118
Litchfield Park, AZ 85340-9481
Phone (623) 547-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26900 N Lake Pleasant Pkwy
Suite 201
Peoria, AZ 85383-1558
Phone (623) 547-2600
50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196692-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Digestive Health, PC | Current | Accepting new patients | |
| Hetal C. Shah, M.D., P.C. | Current | Accepting new patients | |
| Phase II St George Inc | Past | Accepting new patients |
Locations
3624 W Anthem Way
Ste C122
Anthem, AZ 85086
Phone 62343457483
5310 W Thunderbird Rd
Ste 208
Glendale, AZ 85306
Phone (480) 464-9400
18699 N 67th Ave
Ste 210
Glendale, AZ 85308
Phone (623) 266-9263
5310 W Thunderbird Rd
Ste 208210
Glendale, AZ 85306
5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717
14044 W Camelback Rd
Ste 118
Litchfield Pk, AZ 85340
Phone (623) 584-4882
26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960
26900 N Lake Pleasant Pkwy
Ste 1
Peoria, AZ 85383
26900 N Lake Pleasant Pkwy
Ste 201
Peoria, AZ 85383
4700 N 51st Ave
Ste 5
Phoenix, AZ 85031
Phone (623) 846-7558
9425 W Bell Rd
Ste 200
Sun City, AZ 85351
13802 W Meeker Blvd
Sun City West, AZ 85375
Phone 6233029300412
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.
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1992981583
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1437189404
-
- Gynecologic Oncology Physician
- St George, UT
- NPI 1912186289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1932229259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14044 W CAMELBACK RD STE 118",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853409481",
"telephone_number": "623-547-2600",
"fax_number": "623-547-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14044 W CAMELBACK RD STE 118",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853409481",
"telephone_number": "623-547-2600",
"fax_number": "623-547-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "SHELLY",
"middle_name": "F",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "196692-4405",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "1966924405",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "238878",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Litchfield Park, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.