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Jodelle Lynn Kirk

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

5w Mendenhall Street, Suite 511, Bozeman, MT 59715

PECOS Enrollment

Based on the most recent information from CMS, provider Jodelle Lynn Kirk does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821671033
Provider Type
Individual
Full Name
Kirk, Jodelle Lynn
Title
Ms.
Credential
N.P.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/5/2021
Last Updated
5/5/2021

Contact Information

Practice Location

5w Mendenhall Street, Suite 511, Bozeman, MT 59715

(417) 439-3374

Unlisted Fax

Mailing Location

5w Mendenhall Street, Suite 511, Bozeman, MT 59715

(417) 439-3374

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN-159024 Montana
Code 171W00000X	Description Contractor Other Service Providers	License APRN-159024 Montana
Code 363LA2100X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN-159024 Montana

Jodelle Lynn Kirk

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Sewell, Saundra Knowles

Kirk, Meghan A

Buerhaus, Pauline Anna

Cook, Mary

Pikul, Sherry Marie

Burkholder, Stephanie Buswell

Micech, Danna Marlene

Lange, Christine Merette

Mccracken, Anna Catherine

Overstreet, Jordan Marie