Individual provider Active NPI

Krystine Ryan, ARNP

  • Family Nurse Practitioner
  • Moline, IL
National Provider Identifier
1225583453
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014722 Issued in IL
Practice address
400 John Deere Rd BLDG 2
Moline, IL 61265-6898
Phone
(309) 517-3036
Fax
(309) 797-1088
NPI assigned
Aug 17, 2016
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 A129550 IA
Family Nurse Practitioner 363LF0000X 209014722 IL Primary

Addresses

Primary practice location

400 John Deere Rd BLDG 2
Moline, IL 61265-6898

Mailing address

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123

Other practice location 1

4480 Utica Ridge Rd Ste 2222
Bettendorf, IA 52722-1644
Phone (309) 517-3036

Other practice location 2

1514 Mulberry Ave Ste 302
Muscatine, IA 52761
Phone (309) 571-3036

Other practice location 3

311 Parham St
Muscatine, IA 52761-2604
Phone (309) 517-3036

Other practice location 4

600 N College Ave Ste 220
Geneseo, IL 61254-1092
Phone (309) 517-3036

Other practice location 5

101 W 2nd St
Dixon, IL 61021-3030
Phone (309) 517-3036

Other practice location 6

120 W Locust St
Davenport, IA 52803-2826
Phone (309) 517-3036

Other identifiers 1

IdentifierTypeStateIssuer
0129583MedicaidIA

Other names 1

  • Krystine McClellan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20160921000729 IA Practitioner - Nurse Practitioner 6103113030 Reassigns benefits to 1 organization
I20160930000816 IL Practitioner - Nurse Practitioner 6103113030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renalcare Associates, S.C.Group PAC ID 7012818347, 48 clinicians

Practice addresses (Care Compare)

120 W Locust St
Davenport, IA 52803-2826
Phone (309) 517-3036

400 John Deere Rd
BLDG 2
Moline, IL 61265-6898
Phone (309) 517-3036

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209014722ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renalcare Associates, S.C. Nurse Practitioner CurrentSince Jan 1, 2021 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 1130
Bettendorf, IA 52722
Phone (563) 344-9977

4480 Utica Ridge Rd
Ste 2222
Bettendorf, IA 52722
Phone (563) 742-3111

120 W Locust St
Davenport, IA 52803
Phone (319) 323-3300

700 W Grove St
Maquoketa, IA 52060
Phone (563) 652-2474

311 Parham St
Muscatine, IA 52761
Phone (309) 762-5570

1514 Mulberry Ave
Ste 302
Muscatine, IA 52761
Phone (309) 571-3036

101 W 2nd St
Dixon, IL 61021
Phone (815) 284-0555

600 N College Ave
Ste 110
Geneseo, IL 61254
Phone (309) 944-1595

600 N College Ave
Ste 220
Geneseo, IL 61254
Phone (309) 944-1595

400 John Deere Rd
Bldg 2
Moline, IL 61265
Phone (309) 797-0594

400 John Deere Rd
Bldg 1
Moline, IL 61265
Phone (309) 762-5570

400 John Deere Rd
Moline, IL 61265
Phone (309) 762-5570

430 Maxine Dr
Morton, IL 61550
Phone (309) 266-7600

1302 Franklin Ave
Ste 3000
Normal, IL 61761
Phone (309) 454-3456

1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785

600 S 13th St
Ste K
Pekin, IL 61554
Phone (309) 347-1151

420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259

702 S Rittenhouse Dr
Pontiac, IL 61764
Phone (309) 662-9461

2623 17th St
Rock Island, IL 61201
Phone (309) 786-1400

880 Crosstown Ave
Silvis, IL 61282
Phone (309) 792-3517

Interoperability endpoints

  • Direct secure messaging: kryan15839@direct.acumenmd.com
  • Direct secure messaging: kryan89275@direct.unitypoint.org

Organizations & group practices 2

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": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1225583453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 401",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033112",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JOHN DEERE RD BLDG 2",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656898",
            "telephone_number": "309-517-3036",
            "fax_number": "309-797-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4480 Utica Ridge Rd Ste 2222",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527221644",
            "country_code": "US",
            "telephone_number": "309-517-3036",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 Mulberry Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Muscatine",
            "state": "IA",
            "postal_code": "52761",
            "country_code": "US",
            "telephone_number": "309-571-3036",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Parham St",
            "address_purpose": "LOCATION",
            "city": "Muscatine",
            "state": "IA",
            "postal_code": "527612604",
            "country_code": "US",
            "telephone_number": "309-517-3036",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N College Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "IL",
            "postal_code": "612541092",
            "country_code": "US",
            "telephone_number": "309-517-3036",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Dixon",
            "state": "IL",
            "postal_code": "610213030",
            "country_code": "US",
            "telephone_number": "309-517-3036",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W Locust St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528032826",
            "country_code": "US",
            "telephone_number": "309-517-3036",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KRYSTINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2026-09-29",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A129550",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129583",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTINE",
            "last_name": "MCCLELLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.