Active NPI
Kristen Olin, DNP-FNP
- Obstetrics & Gynecology Nurse Practitioner
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 209018214
- Practice address
- 4300 7TH St
Moline, IL 61265-6866 - Phone
- (563) 762-9800
- NPI assigned
- Oct 8, 2018
- Last updated
- Nov 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| HCR Manorcare Medical Services of Florida LLC | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | 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
- kolin995892@direct.unitypoint.org
- kristen.olin@direct.genesishealth.com
- 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.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
IL
-
dba Genesis Health Group
- Family Medicine Physician
- Davenport, IA
- NPI 1477654945
IL
-
dba Genesis Convenient Care Bettendorf
- Clinic/Center
- Bettendorf, IA
- NPI 1497772008
-
dba Genesis Medical Center Dewitt
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
dba Heartland Care Partners
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.