| 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 | 
| Location | 240 Pickering St, Montgomery City, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| 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 | 
| 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: Medicare Enrolled 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  |