Individual provider Active NPI

Anastasia Marie Klockman, ACNPC-AG

  • Gerontology Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1982297305
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2021004832 Issued in MO
Practice address
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone
(816) 276-4000
NPI assigned
Feb 17, 2021
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210323000972 MO Practitioner - Nurse Practitioner 2860809654 Reassigns benefits to 2 organizations

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
Dunn Physician Services LLCGroup PAC ID 0345787578, 44 clinicians

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

LicenseStateTypeSpecialty
2021004832MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dunn Physician Services, LLC Nurse Practitioner CurrentSince Sep 9, 2024 Accepting new patients
Liveactive Multispecialty Physician Group LLC CurrentSince Oct 1, 2025 Accepting new patients
Liveactive Primary Care, LLC PastSince Nov 18, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.