Individual provider Active NPI

Kimberly Leah Collymore, FNP

  • Family Nurse Practitioner
  • Rice Lake, WI
National Provider Identifier
1912110305
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13264-33 Issued in WI
Practice address
2900 S Wisconsin Ave
Rice Lake, WI 54868-8578
Phone
(715) 997-3915
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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 13264-33 WI Primary

Addresses

Primary practice location

2900 S Wisconsin Ave
Rice Lake, WI 54868-8578

Mailing address

2403 Folsom St
Eau Claire, WI 54703-2435
Phone (715) 552-9784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WI2 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
I20031125000663 CO Practitioner - Nurse Practitioner 4981508421 Reassigns benefits to 1 organization
I20221202001322 WI Practitioner - Nurse Practitioner 4981508421 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians

Practice addresses (Care Compare)

2900 S Wisconsin Ave
Rice Lake, WI 54868-8578
Phone (715) 997-3915

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geiger Medical, LLC CurrentSince Apr 1, 2024 Accepting new patients
Prowers County Hospital District Current Accepting new patients
Oak Medical SC CurrentSince Mar 1, 2024 Accepting new patients
Oakleaf Clinics Inc CurrentSince Jun 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 10, 2024 Accepting new patients
Oakleaf Clinics Inc CurrentSince Jun 1, 2025 Accepting new patients
Oakleaf Clinics Inc Past Accepting new patients
Valley-Wide Health Systems, Inc. Past Accepting new patients

Locations

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

403 Kendall Dr
Lamar, CO 81052
Phone (719) 336-6767

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

15430 W Capitol Dr
Ste 100
Brookfield, WI 53005
Phone (262) 235-3115

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

2403 Folsom St
Eau Claire, WI 54703

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

110 Belmont Rd
Madison, WI 53714
Phone (308) 249-7391

2919 Stout Rd
Menomonie, WI 54751
Phone (715) 235-4274

2900 S Wisconsin Ave
Rice Lake, WI 54868
Phone (608) 341-9636

Interoperability endpoints

  • Direct secure messaging: kimberly.collymore@pmg.gwaydirect.com
  • Direct secure messaging: kcollymore37902@oakleafmed.gardenplot.direct-ci.com

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 1

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1912110305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 FOLSOM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032435",
            "telephone_number": "715-552-9784",
            "fax_number": "715-835-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S WISCONSIN AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688578",
            "telephone_number": "715-997-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLYMORE",
        "first_name": "KIMBERLY",
        "middle_name": "LEAH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13264-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

Verify at the official NPI Registry.