KRISTIN M COLLAR APNP NPI 1265711311

NPI Information

  • NPI: 1265711311
  • Provider Name: KRISTIN M COLLAR, APNP
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 405 COMMERCIAL ST
    SEYMOUR, WI
    ZIP 54165
  • Phone: (920) 833-2318

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NPI Details

Kristin M Collar, APNP is a nurse practitioner in Seymour, WI with 14 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Kristin M Collar, APNP NPI is 1265711311. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

405 COMMERCIAL ST
SEYMOUR, WI
ZIP 54165-474
Phone: (920) 833-2318

The NPI 1265711311 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 8/8/2011 and was last updated on 4/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse154400WISCONSINNo
2363L00000XNurse Practitioner4489-33WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K400287353MEDICARE OSCAR/CERTIFICATIONWISCONSIN
2071700066MEDICARE OSCAR/CERTIFICATIONWISCONSIN
31265711311MEDICAIDWISCONSIN
4K400216382MEDICARE OSCAR/CERTIFICATIONWISCONSIN
5K400105716MEDICARE OSCAR/CERTIFICATIONWISCONSIN
6330350045MEDICARE OSCAR/CERTIFICATIONWISCONSIN
7075100134MEDICARE OSCAR/CERTIFICATIONWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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