Individual provider Active NPI

Lindsey Bollaert, APN

  • Family Nurse Practitioner
  • Moline, IL
National Provider Identifier
1437604154
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014518 Issued in IL
Practice address
1100 36TH Ave
Moline, IL 61265
Phone
(309) 743-6700
Fax
(309) 764-2042
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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 209014518 IL Primary

Addresses

Primary practice location

1100 36TH Ave
Moline, IL 61265

Mailing address

1236 E Rusholme St Ste 300
Davenport, IA 52803-2473
Phone (563) 324-2992

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lindsey.bollaert.p1@direct.cvmedpc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20161130002067 IL Practitioner - Nurse Practitioner 2567742968 Reassigns benefits to 1 organization
I20190514001039 IA Practitioner - Nurse Practitioner 2567742968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Medicine PLLCGroup PAC ID 2264334721, 50 clinicians

Practice addresses (Care Compare)

1100 36TH Ave
Moline, IL 61265-7127
Phone (309) 743-6700

4480 Utica Ridge Rd
Bettendorf, IA 52722-1656
Phone (563) 324-2992

Hospital & facility affiliations

  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104

Merit-based Incentive Payment System (MIPS)

Final score
82.95 of 100Reported as group
Quality
70.54
Promoting interoperability
97
Improvement activities
40
Cost
75.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209014518ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Medicine PLLC CurrentSince Jul 1, 2018 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2222
Bettendorf, IA 52722
Phone (563) 742-3111

4480 Utica Ridge Rd
Bettendorf, IA 52722
Phone (309) 756-6880

1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992

210 W Elk St
Geneseo, IL 61254
Phone (309) 743-6700

1100 36th Ave
Moline, IL 61265
Phone (309) 743-6700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1437604154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST STE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032473",
            "telephone_number": "563-324-2992",
            "fax_number": "563-324-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 36TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-743-6700",
            "fax_number": "309-764-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLAERT",
        "first_name": "LINDSEY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindsey.bollaert.p1@direct.cvmedpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1100 36th Ave",
            "city": "Moline",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.