Nicole Elizabeth Klunk, CPNP - Nurse Practitioner in Surprise, AZ

Nicole Elizabeth Klunk, CPNP is a Nurse Practitioner - Pediatrics based in Surprise, Arizona. Nicole Elizabeth Klunk is licensed to practice in Arizona (license number 271552) and her current practice location is 14823 W Bell Rd Ste 208, Surprise, Arizona. She can be reached at her office (for appointments etc.) via phone at (623) 225-7030.

NPI number for Nicole Elizabeth Klunk is 1366042988 and her current mailing address is 21751 N 86th Ln, Peoria, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366042988.

Contact Information

Nicole Elizabeth Klunk, CPNP
14823 W Bell Rd Ste 208,
Surprise, AZ 85374-7613
(623) 225-7030
Not Available

Map and Direction




Provider's Profile

Full NameNicole Elizabeth Klunk
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location14823 W Bell Rd Ste 208, Surprise, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366042988
  • Provider Enumeration Date: 11/01/2020
  • Last Update Date: 09/15/2022

Medical Identifiers

Medical identifiers for Nicole Elizabeth Klunk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366042988NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN211157 (Arizona)Secondary
363LP0200XNurse Practitioner - Pediatrics 271552 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Elizabeth Klunk is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Elizabeth Klunk, CPNP
21751 N 86th Ln,
Peoria, AZ 85382-2497

Ph: (928) 592-2994
Nicole Elizabeth Klunk, CPNP
14823 W Bell Rd Ste 208,
Surprise, AZ 85374-7613

Ph: (623) 225-7030

Reviews and Comments


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Phone: 623-546-0007    Fax: 623-584-6915

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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