Individual provider Active NPI

Krista Rene Collins, APRN

  • Adult Health Nurse Practitioner
  • Salt Springs, FL
National Provider Identifier
1366634743
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 9395276 Issued in FL
Practice address
23715 NE Highway 314
Salt Springs, FL 32134-6239
Phone
(352) 414-1644
NPI assigned
Aug 9, 2007
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 152165 GA
Adult Health Nurse Practitioner 363LA2200X ARNP 9395276 FL Primary
Women's Health Nurse Practitioner 363LW0102X 152165 GA

Addresses

Primary practice location

23715 NE Highway 314
Salt Springs, FL 32134-6239

Mailing address

23715 NE Highway 314
Salt Springs, FL 32134-6239
Phone (352) 414-1644

Other practice location 1

3231 SW 34th Ave
Ocala, FL 34474-8489
Phone (352) 873-7400

Other identifiers 3

IdentifierTypeStateIssuer
015690800MedicaidFL
M9KMXOtherFLBCBS
IG771ZOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150914000247 FL Practitioner - Nurse Practitioner 4183762859 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Caritas in Home Primary Care LLCGroup PAC ID 8628409489, 10 clinicians
Abode Care Partners Al VB LLCGroup PAC ID 1658403704, 48 clinicians
SHC Medical Partners of Florida, LLCGroup PAC ID 7618046517, 9 clinicians

Practice addresses (Care Compare)

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

23715 NE Hwy 314
Salt Springs, FL 32134-6239
Phone (352) 414-1644

4400 Bayou Blvd
Suite 54a
Pensacola, FL 32503-1909
Phone (727) 323-3611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.63 of 100Reported as apm
Quality
67.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9395276FLMDAdult Health Nurse Practitioner
152165GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caritas in Home Primary Care, LLC CurrentSince Mar 1, 2021 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Aug 12, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Aug 12, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Aug 12, 2024 Accepting new patients
SHC Medical Partners of Florida, LLC CurrentSince Aug 12, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Aug 12, 2024 Accepting new patients

Locations

4400 Bayou Blvd
Ste 54A
Pensacola, FL 32503
Phone (727) 323-3611

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Interoperability endpoints

  • Direct secure messaging: krista.collins.1@21287.direct.athenahealth.com

Organizations & group practices 6

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 6

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1366634743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23715 NE HIGHWAY 314",
            "city": "SALT SPRINGS",
            "state": "FL",
            "postal_code": "321346239",
            "telephone_number": "352-414-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23715 NE HIGHWAY 314",
            "city": "SALT SPRINGS",
            "state": "FL",
            "postal_code": "321346239",
            "telephone_number": "352-414-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 SW 34th Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344748489",
            "country_code": "US",
            "telephone_number": "352-873-7400",
            "fax_number": "352-873-7435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KRISTA",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "152165",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9395276",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "152165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015690800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M9KMX",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IG771Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Springs, FL

Sources for this page

Verify at the official NPI Registry.