Active NPI
Kristen Klocker, APN
- Nurse Practitioner
- Bloomingdale, IL
National Provider Identifier
1073844981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 277.001785
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 277.001785 | IL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.