Kristin Kellie McColly, NP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

100454 Issued in MT

Practice address

724 4TH Ave North
Hinsdale, MT 59241

Phone

(406) 648-5432

Fax

(406) 648-5430

NPI assigned

Jul 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frances Mahon Deaconess Hospital Hospital, Glasgow, MT, CCN 271316
• Sheridan Memorial Hosptial Hospital, Plentywood, MT, CCN 271322

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmccolly@sheridanmemorial.cernerdirect.com
• Direct secure messaging: kristin.mccolly.1@18224.direct.athenahealth.com

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.

• Sheridan Memorial Hospital Association

  • Critical Access Hospital Clinic/Center
  • Plentywood, MT
  • NPI 1891859641
  Medicare reassignment NPD
• The Office of Kristin McColly NP PLLC

  • Multi-Specialty Clinic/Center
  • Hinsdale, MT
  • NPI 1972215747
  Medicare reassignment NPD
• Sheridan Memorial Hospital Association

  • Critical Access Hospital
  • Plentywood, MT
  • NPI 1255362851
  NPD
• Sheridan Memorial Hospital Association

  • Critical Access Hospital
  • Plentywood, MT
  • NPI 1467452102
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  Care Compare affiliation
• Sheridan Memorial Hospital Association

  • Critical Access Hospital
  • Plentywood, MT
  • NPI 1255362851
  Care Compare affiliation
• Sheridan Memorial Hospital Association

  • Critical Access Hospital
  • Plentywood, MT
  • NPI 1467452102
  Care Compare affiliation

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1699938613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "HINSDALE",
            "state": "MT",
            "postal_code": "592410002",
            "telephone_number": "406-648-5432",
            "fax_number": "406-648-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 4TH AVE NORTH",
            "city": "HINSDALE",
            "state": "MT",
            "postal_code": "59241",
            "telephone_number": "406-648-5432",
            "fax_number": "406-648-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 2nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "MT",
            "postal_code": "592302313",
            "country_code": "US",
            "telephone_number": "406-648-5432",
            "fax_number": "406-648-5430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 W Laurel Ave",
            "address_purpose": "LOCATION",
            "city": "Plentywood",
            "state": "MT",
            "postal_code": "592541526",
            "country_code": "US",
            "telephone_number": "406-648-5432",
            "fax_number": "406-648-5430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOLLY",
        "first_name": "KRISTIN",
        "middle_name": "KELLIE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "100454",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R5006",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R5006",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "100454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9902750",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Office of Kristin McColly NP PLLC

• Psychiatric/Mental Health Nurse Practitioner in Hinsdale, MT
• Providers in Hinsdale, MT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.