DESIREE D KIRK AGNP
NPI 1346029600
Nurse Practitioner - Gerontology in Portland, OR

Q: What is Desiree Kirk's NPI number?

The NPI number for Desiree Kirk is 1346029600. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Q: What is Desiree Kirk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Desiree Kirk was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2023PECOS Enrolled

17727 E BURNSIDE ST, PORTLAND, OR 97233(503) 215-9800 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Desiree D Kirk Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIREE D KIRK AGNP (NPI 1346029600) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (10010097) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1346029600

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameDESIREE D KIRKCredential: AGNP

Location Address17727 E BURNSIDE STPortland, OR 97233

Mailing Address17727 E Burnside StPortland, OR 97233 · (503) 215-9800

Phone(503) 215-9800

Sole ProprietorNo

Enumeration DateSeptember 26, 2023

Last NPPES UpdateOctober 31, 2024

NPPES CertifiedOctober 25, 2024

✔ NPI 1346029600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in OR · 10010097

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 10010097 (OR)

17727 E BURNSIDE ST, Portland, OR 97233

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Secondary Practice Location 1

Location 14400 NE halsey st., building 1, suite 200portland, OR 97213 · Phone (503) 215-6556

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desiree D Kirk Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA RENEE SEIFER RN

Registered Nurse (Gerontology)