Individual provider Active NPI

Kristin Anne Everhart, ARNP

  • Family Nurse Practitioner
  • Moline, IL
National Provider Identifier
1306154844
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112991 Issued in IA
Practice address
525 Valley View Dr
Moline, IL 61265-6138
Phone
(309) 601-2800
Fax
(309) 601-2801
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112991 IA Primary

Addresses

Primary practice location

525 Valley View Dr
Moline, IL 61265-6138

Mailing address

525 Valley View Dr
Moline, IL 61265-6138
Phone (309) 601-2800

Other practice location 1

4622 Progress Dr Ste C
Davenport, IA 52807-3426
Phone (309) 779-4800

Other practice location 2

4215 E 60th St Ste 7
Davenport, IA 52807-9300
Phone (319) 621-4643

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
I20101027000587 IA Practitioner - Nurse Practitioner 7416141171 Reassigns benefits to 2 organizations
I20170421000234 IL Practitioner - Nurse Practitioner 7416141171 Reassigns benefits to 1 organization

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
Digestive Disease Specialists PCGroup PAC ID 7618142183, 8 clinicians

Practice addresses (Care Compare)

3400 Dexter CT
Suite 108
Davenport, IA 52807-3434
Phone (563) 345-2438

525 Valley View Dr
Moline, IL 61265-6138
Phone (309) 601-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112991IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Digestive Disease Center P.C. CurrentSince Oct 15, 2010 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1378 NW 124th St
Ste 200
Clive, IA 50325
Phone (515) 288-6097

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1306154844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-601-2800",
            "fax_number": "309-601-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-601-2800",
            "fax_number": "309-601-2801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4622 Progress Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528073426",
            "country_code": "US",
            "telephone_number": "309-779-4800",
            "fax_number": "309-779-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 E 60th St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528079300",
            "country_code": "US",
            "telephone_number": "319-621-4643",
            "fax_number": "563-726-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERHART",
        "first_name": "KRISTIN",
        "middle_name": "ANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "112991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.