Jill S Collins, APRN
Individual provider Active NPI Nurse Practitioner · Holton, KS
NPI 1336487412 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1336487412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 53-75875 (KS)
- Practice address
- 1110 Columbine Drive
Holton, KS 66436 - Phone
- (785) 364-2126
- Fax
- (785) 364-9612
- NPI assigned
- Jan 23, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rural Health Resources of Jackson Co Inc
Practice addresses (Care Compare)
1110 Columbine Dr
Holton, KS 66436-8824
Phone (785) 364-2116
Hospital & facility affiliations
- Holton Community Hospital
- University of Kansas Health System - St Francis Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130412000494 | KS | Practitioner - Nurse Practitioner | 6608012802 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75875 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Resources of Jackson Co Inc | Current |
Accepting new patients | |
| Minor Med PA | Current |
Accepting new patients | |
| Rural Health Resources of Jackson Co Inc | Current | Accepting new patients |
Locations
1110 Columbine Dr
Ste 100
Holton, KS 66436
Phone (785) 364-2126
1110 Columbine Dr
Holton, KS 66436
Phone (785) 364-2126
1119 SW Gage Blvd
Topeka, KS 66604
Phone (785) 271-6000
Interoperability endpoints
- jill.collins.1@16424.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-75875 | KS | Yes |
Addresses
Primary practice location
1110 Columbine Drive
Holton, KS 66436
Mailing address
1110 Columbine Drive
Holton, KS 66436
Phone (785) 364-2126
Other providers in Holton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.