Individual provider Active NPI

Kristen Olin, DNP-FNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Moline, IL
National Provider Identifier
1033684832
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
209018214 Issued in IL
Practice address
4300 7TH St
Moline, IL 61265-6866
Phone
(563) 762-9800
NPI assigned
Oct 8, 2018
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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 209018214 IL
Women's Health Nurse Practitioner 363LW0102X 209018214 IL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 209018214 IL Primary

Addresses

Primary practice location

4300 7TH St
Moline, IL 61265-6866

Mailing address

1000 22ND St
Moline, IL 61265-2219
Phone (309) 507-0525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20190426001993 IL Practitioner - Nurse Practitioner 9739421553 Reassigns benefits to 2 organizations
I20201228002486 IA Practitioner - Nurse Practitioner 9739421553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4300 7TH St
Moline, IL 61265-6866
Phone (309) 762-9800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Oct 9, 2023 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince May 14, 2023 Accepting new patients
Genesis Health System CurrentSince Apr 8, 2019 Accepting new patients
Genesis Health System CurrentSince Apr 8, 2019 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

1820 W 3rd St
Davenport, IA 52802
Phone (563) 326-1661

210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436

815 E Locust St
Davenport, IA 52803
Phone (563) 324-3276

619 5th St
Durant, IA 52747
Phone (563) 785-4487

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

4300 7th St
Moline, IL 61265
Phone (309) 762-9800

L2540
Columbus, OH 43260

Interoperability endpoints

  • Direct secure messaging: kolin995892@direct.unitypoint.org
  • Direct secure messaging: kristen.olin@direct.genesishealth.com
  • Direct secure messaging: ms_kolin1@landmarkhealth-direct.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1033684832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 22ND ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652219",
            "telephone_number": "309-507-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656866",
            "telephone_number": "563-762-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIN",
        "first_name": "KRISTEN",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018214",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209018214",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": "209018214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.