Active NPI
Anastasia Marie Klockman, ACNPC-AG
- Gerontology Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 2021004832
- Practice address
- 2316 E Meyer Blvd
Kansas City, MO 64132-1136 - Phone
- (816) 276-4000
- NPI assigned
- Feb 17, 2021
- Last updated
- Nov 12, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2021004832 | MO | Primary |
Addresses
Primary practice location
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Mailing address
6650 W 110TH St Ste 220a
Overland Park, KS 66211-1501
Phone (913) 549-3884
Other practice location 1
6650 W 110th St Ste 220A
Overland Park, KS 66211-1501
Phone (913) 549-3884
Other practice location 2
2330 E Meyer Blvd Ste 303
Kansas City, MO 64132-1152
Phone (816) 333-1919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021004832 | MO | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dunn Physician Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| Liveactive Multispecialty Physician Group LLC | Current | Accepting new patients | |
| Liveactive Primary Care, LLC | Past | Accepting new patients | |
| Kansas City Pulmonary Clinic PA | Past | Accepting new patients | |
| RMC HBP, LLC | Past | Accepting new patients |
Locations
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
500 NW 68th St
Kansas City, MO 64118
Phone (816) 420-3600
Interoperability endpoints
- anastasia.klockman@hca2.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Kansas City, MO
- NPI 1437990082
Nurse Practitioner
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1558093575
MO
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1295792224
-
dba dba: RMC Pulmonary Physicians
- Pulmonary Disease Physician
- Kansas City, MO
- NPI 1508855602
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1245686625
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Research Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1134187842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1982297305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6650 W 110TH ST STE 220A",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111501",
"telephone_number": "913-549-3884",
"fax_number": "913-273-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 E MEYER BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641321136",
"telephone_number": "816-276-4000"
}
],
"practiceLocations": [
{
"address_1": "6650 W 110th St Ste 220A",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662111501",
"country_code": "US",
"telephone_number": "913-549-3884",
"fax_number": "913-273-3343",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2330 E Meyer Blvd Ste 303",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641321152",
"country_code": "US",
"telephone_number": "816-333-1919",
"fax_number": "816-333-2614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLOCKMAN",
"first_name": "ANASTASIA",
"middle_name": "MARIE",
"credential": "ACNPC-AG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MO",
"license": "2021004832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.