Individual provider Active NPI

Brittany Klein, FNP-BC

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1366919227
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.018428 Issued in IL
Practice address
2222 E State St Ste 209
Rockford, IL 61104-1572
Phone
(815) 988-8500
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.018428 IL Primary

Addresses

Primary practice location

2222 E State St Ste 209
Rockford, IL 61104-1572

Mailing address

2222 E State St Ste 209
Rockford, IL 61104-1572
Phone (815) 988-8500

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
I20181205001076 IL Practitioner - Nurse Practitioner 4587908355 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians

Practice addresses (Care Compare)

1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.33 of 100Reported as group
Quality
41.25
Promoting interoperability
0
Improvement activities
40
Cost
69.86

Merit-based Incentive Payment System (MIPS)

Final score
82.78 of 100Reported as group
Quality
60.49
Promoting interoperability
100
Improvement activities
40
Cost
77.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.018428ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Medical Group LLC Family CurrentSince Oct 16, 2018 Accepting new patients
KSB Medical Group, Inc. CurrentSince May 3, 2021 Accepting new patients
Community Home Physicians, LLC CurrentSince Jan 15, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 30, 2024 Accepting new patients
KSB Medical Group, Inc. CurrentSince May 3, 2021 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Cardinal Medical Group, LTD. Geriatric Medicine Past Accepting new patients
Saint Anthony Medical Center Past Accepting new patients

Locations

215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

215 E 1st St
Ste 117
Dixon, IL 61021
Phone (815) 285-5900

403 E 1st St
Ste 353
Dixon, IL 61021
Phone (815) 284-5710

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

4215 Newburg Rd
Rockford, IL 61108
Phone (815) 988-8500

2222 E State St
Ste 209
Rockford, IL 61104
Phone (815) 988-8500

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1366919227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E STATE ST STE 209",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041572",
            "telephone_number": "815-988-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E STATE ST STE 209",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041572",
            "telephone_number": "815-988-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "BRITTANY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.