Individual provider Active NPI

Kari Bollinger, AGPCNP

  • Family Nurse Practitioner
  • Swea City, IA
National Provider Identifier
1295512283
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
H176701 Issued in IA
Practice address
105 6TH St N
Swea City, IA 50590-1056
Phone
(515) 320-1687
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 097609 IA
Gerontology Nurse Practitioner 363LG0600X H176701 IA
Family Nurse Practitioner 363LF0000X H176701 IA Primary

Addresses

Primary practice location

105 6TH St N
Swea City, IA 50590-1056

Mailing address

105 6TH St N
Swea City, IA 50590-1056
Phone (515) 320-1687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20231117002924 IA Practitioner - Nurse Practitioner 6800244518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical Center 170 clinicians

Practice addresses (Care Compare)

117 S 25TH St
Davita Renal Center of Fort Dodge
Fort Dodge, IA 50501-4357
Phone (800) 424-6589

1536 N 29TH St
Bickford of Fort Dodge
Fort Dodge, IA 50501-2148
Phone (515) 573-3300

2400 6TH Ave N
Marian Home
Fort Dodge, IA 50501-3541
Phone (515) 576-1138

420 Kenyon Rd
Fort Dodge, IA 50501-5749
Phone (515) 573-2121

800 Kenyon Rd
Fort Dodge, IA 50501-5776

802 Kenyon Rd
Fort Dodge, IA 50501-5740

802 Kenyon Rd
Fort Dodge, IA 50501-5747

925 Martin Luther King Dr
Fort Dodge, IA 50501-2866
Phone (515) 576-6525

Hospital & facility affiliations

  • Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
  • Friendship Haven, Inc Nursing home, Fort Dodge, IA, CCN 165291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097609IAMDGeneral Practice Registered Nurse
H176701IAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Trinity Regional Medical Center CurrentSince Oct 17, 2023 Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1428 2nd Ave N
Fort Dodge, IA 50501
Phone (515) 573-1145

Interoperability endpoints

  • Direct secure messaging: kbollinger963593@direct.unitypoint.org

Organizations & group practices 18

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.

View all 18

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1295512283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 6TH ST N",
            "city": "SWEA CITY",
            "state": "IA",
            "postal_code": "505901056",
            "telephone_number": "515-320-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 6TH ST N",
            "city": "SWEA CITY",
            "state": "IA",
            "postal_code": "505901056",
            "telephone_number": "515-320-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "KARI",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IA",
            "license": "097609",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "H176701",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "H176701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swea City, IA

Sources for this page

Verify at the official NPI Registry.