Individual provider Active NPI

Kristin M Collar, APNP

  • Family Nurse Practitioner
  • Seymour, WI
National Provider Identifier
1265711311
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4489 Issued in WI
Practice address
405 Commercial St
Seymour, WI 54165-8474
Phone
(920) 833-2318
NPI assigned
Aug 8, 2011
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 154400 WI
Family Nurse Practitioner 363LF0000X 4489 WI Primary
Nurse Practitioner 363L00000X 4489-33 WI

Addresses

Primary practice location

405 Commercial St
Seymour, WI 54165-8474

Mailing address

405 Commercial St
Seymour, WI 54165-8474
Phone (920) 833-2318

Other identifiers 1

IdentifierTypeStateIssuer
1265711311MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20110915000847 WI Practitioner - Nurse Practitioner 3375714736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

405 Commercial St
Seymour, WI 54165-8474
Phone (920) 833-2318

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154400WIMDRegistered Nurse
4489-33WIMDNurse Practitioner
4489WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Apr 5, 2016 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Apr 5, 2016 Accepting new patients

Locations

1510 Fremont St
Algoma, WI 54201
Phone (920) 487-3676

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1765 N 18th St
Manitowoc, WI 54220
Phone (920) 482-0575

3415 Custer St
Ste D
Manitowoc, WI 54220
Phone (920) 652-9310

405 Commercial St
Seymour, WI 54165
Phone (920) 833-2318

607 E Bronson Rd
Seymour, WI 54165
Phone (920) 833-6856

307 Manor Dr
Suring, WI 54174
Phone (920) 842-2144

Interoperability endpoints

  • Direct secure messaging: kcollar33259@direct.thedacare.org
  • Direct secure messaging: kcollar916409@direct.emplifyhealth.org

Organizations & group practices 3

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 2

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1265711311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 COMMERCIAL ST",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541658474",
            "telephone_number": "920-833-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 COMMERCIAL ST",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541658474",
            "telephone_number": "920-833-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAR",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "154400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4489",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4489-33",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265711311",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, WI

Sources for this page

Verify at the official NPI Registry.