MRS. JODI MARIE MOLTISANTI KIERNAN PNP
NPI 1790194967
Nurse Practitioner - Pediatrics in Phoenix, AZ
About Mrs. Jodi Marie Moltisanti Kiernan Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JODI MARIE MOLTISANTI KIERNAN PNP (NPI 1790194967) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (RN180535) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jodi Marie Moltisanti Kiernan Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jodi Kiernan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85016
- Reassigned Medicare billing, Arizona enrollment
- 1,416 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHOENIX, AZ 85016
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jodi Kiernan's NPI number?
The NPI number for Jodi Kiernan is 1790194967. It was assigned to this individual provider in the NPPES registry on August 12, 2014.
Where is Jodi Kiernan located?
Jodi Kiernan practices at 1919 E Thomas Rd Phoenix Children's Hospital Heart Center, Phoenix, AZ 85016. The listed phone number is (917) 921-7966.
What is Jodi Kiernan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jodi Kiernan enrolled in Medicare?
Yes. Jodi Kiernan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jodi Kiernan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Kiernan reassigns Medicare benefits to Phoenix Children's Hospital (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jodi Kiernan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jodi Kiernan was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Mrs. Jodi Marie Moltisanti Kiernan, PNP · NPI 1790194967
Pediatrics physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since August 12, 2014.
## Identity
- **NPI:** 1790194967 (Entity type: Individual)
- **Enumerated:** August 12, 2014
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** RN180535 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1919 E THOMAS RD, PHOENIX CHILDREN'S HOSPITAL HEART CENTER, Phoenix, AZ 85016-7710
- **Phone:** (917) 921-7966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Phoenix Children's Hospital (NPI 1922112044, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1790194967) · Data from the CMS NPPES public registry.