ANDREA JEANNE KLOCK FNP-C
NPI 1629575246
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Andrea Klock's NPI number?

The NPI number for Andrea Klock is 1629575246. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Q: What is Andrea Klock'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 Andrea Klock was last updated on February 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 10, 2018PECOS Enrolled

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: February 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 27, 2018, Apr 10, 2018 (2 updates tracked since 2018).

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About Andrea Jeanne Klock Fnp-c NPPES

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

ANDREA JEANNE KLOCK FNP-C (NPI 1629575246) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP11361) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629575246

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANDREA JEANNE KLOCKCredential: FNP-C

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6080 · Fax (602) 263-1619

Phone(602) 263-1200

Fax(602) 263-1619

Sole ProprietorNo

Enumeration DateApril 10, 2018

Last NPPES UpdateFebruary 4, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2024

✔ NPI 1629575246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP11361

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP11361 (AZ)

4212 N 16TH ST, Phoenix, AZ 85016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Jeanne Klock Fnp-c 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 Reassignments

Medicare enrollment records show Andrea Klock reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

Same address

Public Health or Welfare

4212 N 16TH ST
Phoenix, AZ 85016

Reassigned Medicare billing, Texas enrollment
599 clinicians in this Medicare group

NPI 1083643738 (602) 263-1200

District Medical Group, Inc

3.0 mi

Surgery

2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1174856280 (602) 344-1095

Good Health Medical, PLLC

3.0 mi

Family Medicine

742 E GLENDALE AVE STE 170
Phoenix, AZ 85020

Reassigned Medicare billing, Arizona enrollment
321 clinicians in this Medicare group

NPI 1861343196 (480) 677-8282

Honorhealth-Fastmed Ambulatory Holdings LLC

4.0 mi

Urgent Care

2301 N 44TH ST
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
60 clinicians in this Medicare group

NPI 1942817523 (602) 808-8786

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

Areas of Expertise CMS Part B claims

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.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)