Active NPI
Kirstin Olha, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Bourbonnais, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209-031317
- Practice address
- 6712 N Convent St
Bourbonnais, IL 60914-1528 - Phone
- (815) 928-8050
- Fax
- (815) 928-8932
- NPI assigned
- Nov 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209-031317 | IL | Primary |
Addresses
Primary practice location
6712 N Convent St
Bourbonnais, IL 60914-1528
Mailing address
900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1870 Silver Cross Blvd
New Lenox, IL 60451-8639
Phone (815) 462-3474
2101 Waukegan Rd
Bannockburn, IL 60015-1836
6712 N Convent St
Bourbonnais, IL 60914-1528
Phone (815) 928-8050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-031317 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Health System | Current | Accepting new patients | |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
6712 N Convent St
Bourbonnais, IL 60914
Phone (815) 348-9500
5057 Paysphere Cir
Chicago, IL 60674
5775 E State Route 113
Coal City, IL 60416
Phone (815) 634-0100
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
375 N Wall St
Kankakee, IL 60901
Phone (815) 401-4603
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1467290809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1922823244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 RAND RD STE 300",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162359",
"telephone_number": "847-324-3976",
"fax_number": "847-929-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6712 N CONVENT ST",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609141528",
"telephone_number": "815-928-8050",
"fax_number": "815-928-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLHA",
"first_name": "KIRSTIN",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-21",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209-031317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.