MARY E. KLUNICK NP
NPI 1083130298
Nurse Practitioner - Family in Springfield, IL

Q: What is Mary Klunick's NPI number?

The NPI number for Mary Klunick is 1083130298. It was assigned to this individual provider in the NPPES registry on August 18, 2017. The provider is also known as Mary E. Doerfler.

Q: What is Mary Klunick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Klunick was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2017PECOS EnrolledAccepts Medicare Assignment

1025 S 6TH ST, SPRINGFIELD, IL 62703(217) 528-7541(217) 525-3664 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2020, May 21, 2020, Aug 23, 2017 and 1 more (4 updates tracked since 2017).

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About Mary E. Klunick Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY E. KLUNICK NP (NPI 1083130298) is an individual family provider in Springfield, Illinois, licensed in Illinois (209016138) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083130298

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY E. KLUNICKCredential: NP

Location Address1025 S 6TH STSpringfield, IL 62703-2403

Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541

Phone(217) 528-7541

Fax(217) 525-3664

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 18, 2017

Last NPPES UpdateDecember 3, 20204 updates tracked since enumeration

NPPES CertifiedDecember 3, 2020

✔ NPI 1083130298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209016138

1025 S 6TH ST, Springfield, IL 62703

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Other Names 1

Former Name (1)Mary E. Doerfler

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary E. Klunick Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648545970

PECOS Enrollment IDI20171012000099

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

234 services231 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

149 services141 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

23 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMY ELLIOTT

Nurse Practitioner (Family)