Individual provider Active NPI

Shelly F Kirk, NP

  • Family Nurse Practitioner
  • Litchfield Park, AZ
National Provider Identifier
1932229259
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
196692-4405 Issued in UT
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

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20050531000837 UT Practitioner - Nurse Practitioner 0143262196 Reassigns benefits to 1 organization
I20200622001240 AZ Practitioner - Nurse Practitioner 0143262196 Reassigns benefits to 2 organizations

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
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians

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

LicenseStateTypeSpecialty
196692-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Digestive Health, PC CurrentSince Aug 1, 2025 Accepting new patients
Hetal C. Shah, M.D., P.C. CurrentSince Nov 14, 2023 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.

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

Verify at the official NPI Registry.