Individual provider Active NPI

Kaitlyn Nafziger, APRN

  • Primary Care Nurse Practitioner
  • Bloomington, IL
National Provider Identifier
1063395341
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209.032822 Issued in IL
Practice address
9 Heartland Dr Ste C
Bloomington, IL 61704-7733
Phone
(309) 663-7642
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209.032822 IL Primary

Addresses

Primary practice location

9 Heartland Dr Ste C
Bloomington, IL 61704-7733

Mailing address

9 Heartland Dr Ste C
Bloomington, IL 61704-7733
Phone (309) 663-7642

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918003565 IL Practitioner - Nurse Practitioner 2163926411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Primary Care, LTD.Group PAC ID 9436342375, 10 clinicians

Practice addresses (Care Compare)

9 Heartland Dr
Suite C
Bloomington, IL 61704-7733
Phone 3096637642901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.032822ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Primary Care, LTD. CurrentSince Aug 5, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1404 Eastland Dr
Ste 104
Bloomington, IL 61701
Phone (309) 604-9690

9 Heartland Dr
Ste C
Bloomington, IL 61704
Phone (309) 663-7642

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1063395341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HEARTLAND DR STE C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047733",
            "telephone_number": "309-663-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HEARTLAND DR STE C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047733",
            "telephone_number": "309-663-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFZIGER",
        "first_name": "KAITLYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.032822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.