| Kristina Boylan, FNP | |
|
240 Pickering St, Montgomery City, MO 63361-1941 | |
| (573) 564-2101 | |
| (573) 564-2130 |
| Full Name | Kristina Boylan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 240 Pickering St, Montgomery City, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144648924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2013042560 (Missouri) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2013042560 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 500 |
| Entity Name | Hermann Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083749188 PECOS PAC ID: 5496669962 Enrollment ID: O20031118000740 |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Boylan, FNP 240 Pickering St, Montgomery City, MO 63361-1941 Ph: (573) 564-2101 | Kristina Boylan, FNP 240 Pickering St, Montgomery City, MO 63361-1941 Ph: (573) 564-2101 |
Holly Thomas, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Aguilar Dr, Montgomery City, MO 63361 Phone: 573-582-1234 Fax: 573-582-1212 | |
Mary Ellen Shanks, APRN,BC,FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 504 N Sturgeon St, Montgomery City, MO 63361 Phone: 573-564-2990 Fax: 573-564-2963 | |
Londa Y Swoboda, FNP, BSN, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 E 1st St, Montgomery City, MO 63361 Phone: 573-564-3214 Fax: 573-564-3216 | |
Mrs. Diana L Gibbs, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Salisbury St, Montgomery City, MO 63361 Phone: 573-564-2495 Fax: 573-564-5059 |