Active NPI
Kelly Anne Klocek, D.O.
- Emergency Medicine Physician
- Wheeling, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 17036
- Practice address
- 2000 Eoff St
Wheeling, WV 26003-3823 - Phone
- (304) 234-8177
- NPI assigned
- Dec 16, 2010
- Last updated
- Jul 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17036 | WV | Primary |
| Emergency Medicine Physician | 207P00000X | 036.158033 | IL | |
| Emergency Medicine Physician | 207P00000X | 58-003772 | OH |
Addresses
Primary practice location
2000 Eoff St
Wheeling, WV 26003-3823
Mailing address
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000
Other practice location 1
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Other practice location 2
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000
Other practice location 3
5000 Prairie Rose Dr
Roscoe, IL 61073-7792
Phone (815) 971-2000
Other practice location 4
1045 W Stephenson St
Freeport, IL 61032-4899
Phone (815) 599-6000
Other practice location 5
1504 S Galena Ave
Dixon, IL 61021-4093
Phone (815) 971-3170
Other names 1
- Kelly Anne Vance
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Freeport Memorial Hospital
Practice addresses (Care Compare)
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
1401 E State St
Rockford, IL 61104-2315
Phone (779) 696-4400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.3 of 100
- Quality
- 78.11
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 74.46
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58-003772 | OH | MD | Emergency Medicine Physician |
| 17036 | WV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| First Capital Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Associates of North Carolina, P.C. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Rockford, IL
- NPI 1639876634
-
- Emergency Medicine Physician
- Belvidere, IL
- NPI 1306543319
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Emergency Medicine Physician
- Wheeling, WV
- NPI 1831472448
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Emergency Medicine Physician
- Jacksonville, NC
- NPI 1306887609
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1013210822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611142300",
"telephone_number": "815-971-7000",
"fax_number": "815-968-4795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033823",
"telephone_number": "304-234-8177"
}
],
"practiceLocations": [
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"fax_number": "815-599-7974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8201 E Riverside Blvd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611142300",
"country_code": "US",
"telephone_number": "815-971-7000",
"fax_number": "815-968-4795",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5000 Prairie Rose Dr",
"address_purpose": "LOCATION",
"city": "Roscoe",
"state": "IL",
"postal_code": "610737792",
"country_code": "US",
"telephone_number": "815-971-2000",
"fax_number": "815-971-9070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324899",
"country_code": "US",
"telephone_number": "815-599-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1504 S Galena Ave",
"address_purpose": "LOCATION",
"city": "Dixon",
"state": "IL",
"postal_code": "610214093",
"country_code": "US",
"telephone_number": "815-971-3170",
"fax_number": "815-971-9403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLOCEK",
"first_name": "KELLY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-16",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "17036",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.158033",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "58-003772",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "VANCE",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.