Individual provider Active NPI

Mistie Holly Collins, APRN

  • Nurse Practitioner
  • Florence, KY
National Provider Identifier
1104128651
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3006752 Issued in KY
Practice address
8731 Bankers St Unit a
Florence, KY 41042-4240
Phone
(859) 282-8840
Fax
(859) 282-8830
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3006752 KY Primary
Family Nurse Practitioner 363LF0000X 3006752 KY

Addresses

Primary practice location

8731 Bankers St Unit a
Florence, KY 41042-4240

Mailing address

8731 Bankers St Unit a
Florence, KY 41042-4240
Phone (859) 282-8840

Other identifiers 4

IdentifierTypeStateIssuer
0052835MedicaidOH
7100167790MedicaidKY
P00954943OtherKYRAIL ROAD MEDICARE
P00920266OtherKYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000173 KY Practitioner - Nurse Practitioner 0547440703 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Medical Group PSCGroup PAC ID 4981597671, 5 clinicians

Practice addresses (Care Compare)

8731 Bankers St
Unit a
Florence, KY 41042-4240
Phone (859) 282-8840

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Medical Group PSC Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Summit Medical Group, Inc. CurrentSince Apr 1, 2011 Accepting new patients
Summit Medical Group, Inc Nurse Practitioner CurrentSince Apr 1, 2011 Accepting new patients
Northern Kentucky Pain Relief Physical Medicine Center PSC Nurse Practitioner CurrentSince Feb 3, 2024 Accepting new patients

Locations

334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065

2900 Chancellor Dr
Crestview Hills, KY 41017
Phone (859) 341-0288

8731 Bankers St
Unit A
Florence, KY 41042
Phone (859) 282-8840

7560 US Highway 42
Florence, KY 41042
Phone (859) 242-5909

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1104128651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8731 BANKERS ST UNIT A",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424240",
            "telephone_number": "859-282-8840",
            "fax_number": "859-282-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8731 BANKERS ST UNIT A",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424240",
            "telephone_number": "859-282-8840",
            "fax_number": "859-282-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MISTIE",
        "middle_name": "HOLLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006752",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052835",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100167790",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00954943",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00920266",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.