Individual provider Active NPI

Kristen Klocker, APN

  • Nurse Practitioner
  • Bloomingdale, IL
National Provider Identifier
1073844981
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277.001785 Issued in IL
Practice address
473 W Army Trail Rd
103
Bloomingdale, IL 60108-2674
Phone
(630) 529-6969
NPI assigned
Jan 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277.001785 IL Primary

Addresses

Primary practice location

473 W Army Trail Rd
103
Bloomingdale, IL 60108-2674

Mailing address

473 W Army Trail Rd
Suite 103
Bloomingdale, IL 60108-2674
Phone (630) 529-6969

Other practice location 1

901 Biesterfield Rd Ste 213
Elk Grove Village, IL 60007-7300
Phone (847) 690-0788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277.001785ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nest Pediatrics PC Pediatrics Current Accepting new patients

Locations

473 W Army Trail Rd
Ste 103
Bloomingdale, IL 60108
Phone (630) 295-9900

901 Biesterfield Rd
Ste 213
Elk Grove Vlg, IL 60007
Phone (847) 390-0330

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1073844981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 W ARMY TRAIL RD",
            "address_2": "SUITE 103",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082674",
            "telephone_number": "630-529-6969",
            "fax_number": "630-529-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 W ARMY TRAIL RD",
            "address_2": "103",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082674",
            "telephone_number": "630-529-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Biesterfield Rd Ste 213",
            "address_purpose": "LOCATION",
            "city": "Elk Grove Village",
            "state": "IL",
            "postal_code": "600077300",
            "country_code": "US",
            "telephone_number": "847-690-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOCKER",
        "first_name": "KRISTEN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277.001785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.