Individual provider Active NPI

Collette Ann Klein, RN MSN FPMHNP-BC

  • Nurse Practitioner
  • Sycamore, IL
National Provider Identifier
1659639862
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277001043 Issued in IL
Practice address
1850 Gateway Dr Ste 202
Sycamore, IL 60178-3192
Phone
(815) 766-9841
Fax
(815) 758-5491
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.001043 IL
Nurse Practitioner 363L00000X 277001043 IL Primary

Addresses

Primary practice location

1850 Gateway Dr Ste 202
Sycamore, IL 60178-3192

Mailing address

1850 Gateway Dr Ste 202
Sycamore, IL 60178-3192
Phone (815) 766-9841

Other names 1

  • Mrs. Collette Ann Ansteth Former name

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
I20120815000501 IL Practitioner - Nurse Practitioner 9234385758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dekalb Behavioral Health Foundation, Inc.Group PAC ID 9436451655, 20 clinicians

Practice addresses (Care Compare)

12 Health Services Dr
Dekalb, IL 60115-9637
Phone (815) 756-4875

Hospital & facility affiliations

  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
277.001043ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Behavioral Health Foundation, Inc. CurrentSince Feb 24, 2021 Accepting new patients
Dekalb Behavioral Health Foundation, Inc. Current Accepting new patients
Central Dupage Physician Group CurrentSince Aug 1, 2026 Accepting new patients
Central Dupage Physician Group PastSince Aug 1, 2026 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

12 Health Services Dr
DeKalb, IL 60115
Phone (815) 756-4875

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

1850 Gateway Dr
Ste 202
Sycamore, IL 60178
Phone (815) 766-9260

Organizations & group practices 4

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 1

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1659639862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 GATEWAY DR STE 202",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783192",
            "telephone_number": "815-766-9841",
            "fax_number": "815-758-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 GATEWAY DR STE 202",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783192",
            "telephone_number": "815-766-9841",
            "fax_number": "815-758-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "COLLETTE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN MSN FPMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.001043",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277001043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLETTE",
            "last_name": "ANSTETH",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "APRN, CNP-PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.