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Active NPI 1437743432 Individual Practitioner Male Practitioner

Logan Klockner

Nurse Practitioner • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Logan Klockner is a registered healthcare professional specializing in Nurse Practitioner in Rockford, IL. Practice services are available at 8201 E RIVERSIDE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8201 E Riverside Blvd

Rockford, IL 611142300

Telephone 8159717000
Associated Practice Facility / Clinic
🏢 Javon Bea Hospital Facility NPI 1629118609

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
130 Specialists

Practicing in Rockford, IL (4929 Statewide)

Telehealth Adoption Rate
13.8% 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: 2021-02-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209022924

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License IL 041366252

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Bhargav Desai , MD

Neurological Surgery

NPI 1003348160

Doctor of Medicine (M.D.)

Dr. Alix Vincent , MD

Radiology - Neuroradiology

NPI 1003802265

Doctor of Medicine (M.D.)

Dr. Jateen Patel , MD

Surgery - Pediatric Surgery

NPI 1013004670

Doctor of Medicine (M.D.)

NPI 1013894336

OTDOTR, L, CNT

NPI 1023939196

Doctor of Pharmacy (Pharm.D.)

Dr. Karl Magsamen , MD

Radiology - Vascular & Interventional Radiology

NPI 1033202536

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2021

Registered at 8201 E RIVERSIDE BLVD, ROCKFORD, IL 611142300 (Tel: 8159717000)

📍
Updated Business Mailing Address February 26, 2021

Registered at 2400 N ROCKTON AVE, ROCKFORD, IL 611033655 (Tel: 8159715000)

👤
Provider Name / Credentials Updated February 26, 2021

Recorded as LOGAN KLOCKNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2021

Nurse Practitioner (License #209022924 in IL)

🟢
Initial NPI Registration & Enumeration February 22, 2021

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: 1437743432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2021
Last Update: February 26, 2021
Sole Proprietor: No

Mailing Address

2400 N Rockton Ave

Rockford, IL 611033655

Phone: 8159715000

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.