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LOGAN KLOCKNER
NPI 1437743432
Nurse Practitioner in Rockford, IL

Active since February 22, 2021PECOS Enrolled
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 971-7000 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Logan Klockner NPPES

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

LOGAN KLOCKNER (NPI 1437743432) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209022924) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437743432
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameLOGAN KLOCKNER
Location Address8201 E RIVERSIDE BLVDRockford, IL 61114-2300
Mailing Address2400 N Rockton AveRockford, IL 61103-3655 · (815) 971-5000
Phone(815) 971-7000
Sole ProprietorNo
Enumeration DateFebruary 22, 2021
Last NPPES UpdateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
✔ NPI 1437743432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209022924
Definition
(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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041366252 (IL)
8201 E RIVERSIDE BLVD, Rockford, IL 61114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Klockner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Logan Klockner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rockford Health Physicians
0.4 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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.

DR. BHARGAV DESAI M.D.
Neurological Surgery
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000
DR. ALIX VINCENT MD
Radiology (Neuroradiology)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000
ERIN MARGARET OZMINKOWSKI
Internal Medicine
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-6364
LAURA MADLINGER LEWIS OTD. OTR/L, CNT
Occupational Therapist
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000
STEPHANIE YEAGER APN
Internal Medicine (Hospice and Palliative Medicine)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-5000
CAMERON JOSEPH SMITH PHARMD
Pharmacist
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000
KARL E. MAGSAMEN M.D.
Radiology (Vascular & Interventional Radiology)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000
CHRISTINE NA-EUN MILLAR MD
Anesthesiology
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Klockner's NPI number?

The NPI number for Logan Klockner is 1437743432. It was assigned to this individual provider in the NPPES registry on February 22, 2021.

Where is Logan Klockner located?

Logan Klockner practices at 8201 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 971-7000.

What is Logan Klockner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Logan Klockner enrolled in Medicare?

Yes. Logan Klockner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Logan Klockner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Klockner reassigns Medicare benefits to Rockford Health Physicians (Rockford, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Logan Klockner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Logan Klockner was last updated on February 26, 2021. 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.