AMANDA KLOSTERMAN D.C.
NPI 1487014619
Chiropractor in Geneva, IL

Active since March 01, 2016Accepts Medicare Assignment
2172 BLACKBERRY DR, STE 102, GENEVA, IL 60134(630) 332-0471(630) 402-3813 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 14, 2017, Feb 14, 2017, Mar 1, 2016 (3 updates tracked since 2016).

About Amanda Klosterman D.c. NPPES

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

AMANDA KLOSTERMAN D.C. (NPI 1487014619) is an individual chiropractor in Geneva, Illinois, licensed in Illinois (038013072) and active in the NPI registry since March 2016. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1487014619
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameAMANDA KLOSTERMANCredential: D.C.
Location Address2172 BLACKBERRY DR, STE 102Geneva, IL 60134-1103
Mailing Address2172 Blackberry Dr, Ste 102Geneva, IL 60134-1103 · (630) 332-0471 · Fax (630) 402-3813
Fax(630) 402-3813
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 1, 2016
Last NPPES UpdateMarch 14, 20173 updates tracked since enumeration
✔ NPI 1487014619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038013072
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2172 BLACKBERRY DR, Geneva, IL 60134

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Klosterman D.c. 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 ID2163712019
PECOS Enrollment IDI20170419002595

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Klosterman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
290 N MILL RD # UNITS
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
Chiropractor
2606 BROADWAY STE 1A
Rockford, IL 61108
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 13

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

Social Worker (Clinical)
2172 BLACKBERRY DR
GENEVA, IL 60134
Podiatrist (Foot & Ankle Surgery)
2172 BLACKBERRY DR, SUITE 112
GENEVA, IL 60134
Psychiatry & Neurology (Neurology)
2172 BLACKBERRY DR, SUITE 202
GENEVA, IL 60134
Social Worker (Clinical)
2172 BLACKBERRY DR
GENEVA, IL 60134
Dentist
2172 BLACKBERRY DR, SUITE 201
GENEVA, IL 60134
Clinic/Center
2172 BLACKBERRY DR, SUITE 202
GENEVA, IL 60134
Chiropractor
2172 BLACKBERRY DR, SUITE 102
GENEVA, IL 60134
Chiropractor
2172 BLACKBERRY DR, UNIT 102
GENEVA, IL 60134

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 Amanda Klosterman's NPI number?

The NPI number for Amanda Klosterman is 1487014619. It was assigned to this individual provider in the NPPES registry on March 1, 2016.

Where is Amanda Klosterman located?

Amanda Klosterman practices at 2172 Blackberry Dr Ste 102, Geneva, IL 60134. The listed phone number is (630) 332-0471.

What is Amanda Klosterman's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Amanda Klosterman enrolled in Medicare?

Yes. Amanda Klosterman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amanda Klosterman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Klosterman reassigns Medicare benefits to 2 organizations: Evolve Chiropractic Rockford Crossings PLLC (Rockford, IL) and Evolve Chiropractic Rockford PLLC (Rockford, IL). Each 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 Amanda Klosterman'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 Amanda Klosterman was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.