ERICA WINKLER APRN
NPI 1326515263
Nurse Practitioner - Family in Seneca, KS

Active since October 29, 2018PECOS EnrolledAccepts Medicare Assignment
74.18/100
CMS Quality Rating
1600 COMMUNITY DR, SENECA, KS 66538(785) 336-6181 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2020, Oct 29, 2018 (2 updates tracked since 2018).

About Erica Winkler Aprn NPPES

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

ERICA WINKLER APRN (NPI 1326515263) is an individual family provider in Seneca, Kansas, licensed in Kansas (78438) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Nemaha Valley Community Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1326515263
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA WINKLERCredential: APRN
Location Address1600 COMMUNITY DRSeneca, KS 66538-9739
Mailing Address1600 Community DrSeneca, KS 66538-9739 · (785) 336-6181
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 29, 2018
Last NPPES UpdateOctober 9, 20202 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
✔ NPI 1326515263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KS · 78438
1600 COMMUNITY DR, Seneca, KS 66538

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

Erica Winkler Aprn 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 ID5890032924
PECOS Enrollment IDI20190129000254
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

2

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

Critical Access
1600 COMMUNITY DR
Seneca, KS 66538
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1225004914 (Kansas)
  • 19 clinicians in this Medicare group
General Practice
720 W CENTRAL AVE
El Dorado, KS 67042
  • Reassigned Medicare billing, Kansas enrollment
  • 34 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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nemaha Valley Community Hospital

Critical Access Hospitals · Seneca, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171315
Location1600 Community DrSeneca, KS 66538 · Nemaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66538 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

74.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.82
Improvement Activities40
Cost43.6

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.

Nurse Practitioner
1600 COMMUNITY DR
SENECA, KS 66538
Physician Assistant
1600 COMMUNITY DR
SENECA, KS 66538
Nurse Anesthetist, Certified Registered
1600 COMMUNITY DR
SENECA, KS 66538
Medicare Defined Swing Bed Unit
1600 COMMUNITY DR
SENECA, KS 66538
Physical Therapist
1600 COMMUNITY DR
SENECA, KS 66538
Family Medicine
1600 COMMUNITY DR
SENECA, KS 66538
Clinic/Center (Rural Health)
1600 COMMUNITY DR
SENECA, KS 66538
Pharmacist
1600 COMMUNITY DR
SENECA, KS 66538

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 Erica Winkler's NPI number?

The NPI number for Erica Winkler is 1326515263. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Erica Winkler located?

Erica Winkler practices at 1600 Community Dr, Seneca, KS 66538. The listed phone number is (785) 336-6181.

What is Erica Winkler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erica Winkler enrolled in Medicare?

Yes. Erica Winkler 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 Erica Winkler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Winkler reassigns Medicare benefits to 2 organizations: Nemaha Valley Community Hospital (Seneca, KS) and Susan B. Allen Memorial Hospital (El Dorado, KS). 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 Erica Winkler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Winkler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Erica Winkler 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 Erica Winkler affiliated with any hospitals?

According to CMS data, Erica Winkler is affiliated with Nemaha Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Erica Winkler was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.