NPIMap

Individual provider Active NPI

Kristina Payne

  • Nurse Practitioner
  • Ottumwa, IA
National Provider Identifier
1902562408
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A165172 Issued in IA
Practice address
1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone
(641) 984-2341
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A165172 IA
Nurse Practitioner 363L00000X A165172 IA Primary

Addresses

Primary practice location

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427

Mailing address

304 Franklin St
Keosauqua, IA 52565-1164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220224001334 IA Practitioner - Nurse Practitioner 1355735945 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Emergency Services of Iowa LLCGroup PAC ID 1557600756, 10 clinicians
CH Specialty Services Ia PCGroup PAC ID 2466826102, 130 clinicians
Curana Health of Iowa PLLCGroup PAC ID 9133536113, 152 clinicians
QV Urgent Care Ia PLLCGroup PAC ID 1052722147, 37 clinicians

Practice addresses (Care Compare)

1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-2300

444 N W View Dr
Osceola, IA 50213-8267
Phone (337) 991-9276

801 N Grand Ave
Mt Pleasant, IA 52641-3120
Phone (319) 984-4775

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care Ia PLLC CurrentSince Apr 20, 2023 Accepting new patients
CH Specialty Services Ia PC CurrentSince Nov 18, 2025 Accepting new patients
Curana Health of Iowa PLLC CurrentSince Nov 18, 2025 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Apr 20, 2023 Accepting new patients
Van Buren County Hospital Nurse Practitioner CurrentSince Jan 17, 2022 Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Van Buren County Hospital CurrentSince Jan 17, 2022 Accepting new patients

Locations

200 16th Ave E
Spc Care
Albia, IA 52531

1501 39th St
Fort Madison, IA 52627
Phone (319) 376-1511

213 West St S
Grinnell, IA 50112
Phone (641) 519-0563

304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

1817 1st Ave E
Newton, IA 50208
Phone (641) 458-3055

312 W McLane St
Osceola, IA 50213
Phone (641) 658-9048

444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061

444 N West View Dr
Spc Care
Osceola, IA 50213

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

2489 Highway 92
Washington, IA 52353
Phone (319) 206-9383

Interoperability endpoints

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

Organizations & group practices 8

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 7

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1902562408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 FRANKLIN ST",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-984-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A165172",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A165172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.