DANA M LOEPKER APN
NPI 1225295967
Nurse Practitioner - Adult Health in O Fallon, IL
About Dana M Loepker Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANA M LOEPKER APN (NPI 1225295967) is an individual adult health provider in O Fallon, Illinois, licensed in Illinois (209007076) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Saint Louis University School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Dana M Loepker Apn 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.
Medicare Billing Reassignments
3Medicare enrollment records show Dana Loepker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maryville, IL 62062
- Reassigned Medicare billing, Illinois enrollment
- 145 clinicians in this Medicare group
New Baden, IL 62265
- Reassigned Medicare billing, Illinois enrollment
- 54 clinicians in this Medicare group
Springfield, IL 62704
- Reassigned Medicare billing, Illinois enrollment
- 101 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Josephs Hospital
Acute Care Hospitals · Breese, ILHshs St Elizabeth's Hospital
Acute Care Hospitals · O Fallon, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
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 Dana Loepker's NPI number?
The NPI number for Dana Loepker is 1225295967. It was assigned to this individual provider in the NPPES registry on May 20, 2008.
Where is Dana Loepker located?
Dana Loepker practices at Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269. The listed phone number is (618) 233-6044.
What is Dana Loepker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Dana Loepker enrolled in Medicare?
Yes. Dana Loepker 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 Dana Loepker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dana Loepker reassigns Medicare benefits to 3 organizations: Anderson Medical Group, LLC (Maryville, IL), St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde (New Baden, IL) and Prairie Cardiovascular Consultants Ltd (Springfield, 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 Dana Loepker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dana Loepker accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Medica and UnitedHealthcare list Dana Loepker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Dana Loepker affiliated with any hospitals?
According to CMS data, Dana Loepker is affiliated with St Josephs Hospital and Hshs St Elizabeth's Hospital.
When was this NPI record last updated?
The NPPES record for Dana Loepker was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dana M Loepker, APN · NPI 1225295967
Adult Health physician in O Fallon, Illinois. Individual provider, active in the CMS NPPES registry since May 20, 2008.
## Identity
- **NPI:** 1225295967 (Entity type: Individual)
- **Enumerated:** May 20, 2008
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 209007076 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** THREE SAINT ELIZABETH BLVD STE 2800, O Fallon, IL 62269-1282
- **Phone:** (618) 233-6044 · **Fax:** (833) 973-4218
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Anderson Medical Group, LLC (NPI 1700807716, Maryville, IL); St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde (NPI 1821486085, New Baden, IL); Prairie Cardiovascular Consultants Ltd (NPI 1982714218, Springfield, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** December 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1225295967) · Data from the CMS NPPES public registry.