M KATHLEEN BIRD (FNP-C) – Family Nurse Practitioner, NPI 1073365417

M KATHLEEN BIRD (FNP-C) is a healthcare provider. based in Grand junction, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. APN-0999592-NP (CO). The NPI Number for M KATHLEEN BIRD (FNP-C) is 1073365417

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
M KATHLEEN BIRD (FNP-C)
NPI
1073365417
Phone
(970) 241-2212
Address
3090 N 12TH ST
Enumeration Date
1 April 2024
Last Update Date
1 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702001600
Graduation Year
2024 (2 years ago)
PAC ID
4688104037
Group Practice PAC ID
1052634748
Professional Enrollment ID
I20250213003847
Address ID
CO815045383GR526XX29XX200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

Provider Addresses for M KATHLEEN BIRD (FNP-C)

  • 3090 N 12TH ST

    GRAND JUNCTION, CO 815062814

    Phone: (970) 241-2212

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250213003847INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052634748View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantCO
Emergency MedicineCO
Nurse PractitionerMT
Nurse PractitionerCO
Family PracticeCO
-CO
Hospice/Palliative Care, Family Practice, General PracticeCO

Reviews

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Frequently asked questions

Is M KATHLEEN BIRD (FNP-C) listed with a National Provider Identifier?
Yes — M KATHLEEN BIRD (FNP-C) has NPI 1073365417 on file in the registry.
Is M KATHLEEN BIRD (FNP-C) still an active registrant?
M KATHLEEN BIRD (FNP-C) carries an active NPI according to the public dataset.
How would a patient describe M KATHLEEN BIRD (FNP-C)'s focus?
For M KATHLEEN BIRD (FNP-C), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is M KATHLEEN BIRD (FNP-C) associated with Grand Junction?
Public fields place M KATHLEEN BIRD (FNP-C) around Grand Junction, Colorado. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for M KATHLEEN BIRD (FNP-C) is noted as April 1, 2024 where the registry provides it.

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