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Active NPI 1003840174 Individual Practitioner Female Practitioner

Mary Kay Klockmann , NP

Nurse Practitioner • Brawley, CA

Professional Overview & Biography Verified Profile Summary

Mary Kay Klockmann, NP is a registered healthcare professional specializing in Nurse Practitioner in Brawley, CA. Practice services are available at 608 G STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

608 G Street
Brawley

Brawley, CA 922272567

Telephone 7603511011
Fax 7605450247
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Brawley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Brawley, CA (8378 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA RN402384

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Clinical Nurse Specialist - Family Health

NUCC Taxonomy Code: 364SF0001X

State License CA 9766NP

Definition to come...

Clinical Nurse Specialist - Family Health

NUCC Taxonomy Code: 364SF0001X

State License CA 402384RN

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated May 08, 2020

Recorded as MARY KAY KLOCKMANN, NP

NPI Profile Active January 28, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2013

Registered at 608 G STREET, BRAWLEY, BRAWLEY, CA 922272567 (Tel: 7603511011)

📍
Updated Business Mailing Address January 28, 2013

Registered at 516 W ATEN RD, IMPERIAL, IMPERIAL, CA 922519805 (Tel: 7603557730)

👤
Provider Name / Credentials Updated January 28, 2013

Recorded as MARY KLOCKMANN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2013

Nurse Practitioner (License #RN402384 in CA)

🟢
Initial NPI Registration & Enumeration July 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003840174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: May 08, 2020
Sole Proprietor: Yes

Mailing Address

516 W Aten Rd, Imperial

Imperial, CA 922519805

Phone: 7603557730

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.