The Office of Kristin McColly NP PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

THE OFFICE OF KRISTIN MCCOLLY NP PLLC

Practice address

724 4TH Ave North
Hinsdale, MT 59241-0002

Phone

(406) 648-5432

Fax

(406) 648-5430

NPI assigned

Dec 23, 2022

Organization subpart

No

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

Authorized official

Name

Gretchen Fire, RN

Title

Office Manager

Phone

(406) 648-5432

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Interoperability endpoints

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Kellie McColly, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Hinsdale, MT
  • NPI 1699938613
  Medicare reassignment NPD

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1972215747",
    "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": "592410002",
            "telephone_number": "406-648-5432",
            "fax_number": "406-648-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OFFICE OF KRISTIN MCCOLLY NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "FIRE",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-648-5432",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9902750",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.mccolly.1@18224.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "724 4th Ave North",
            "city": "Hinsdale",
            "state": "MT",
            "country_code": "US",
            "postal_code": "592410002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin Kellie McColly, NP-C

• Multi-Specialty Clinic/Center in Hinsdale, MT
• Providers in Hinsdale, MT by specialty
• Multi-Specialty Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.