ERICA R. LOPPNOW APNP
NPI 1346494770
Nurse Practitioner - Women's Health in Sheboygan, WI

Active since November 12, 2008PECOS EnrolledAccepts Medicare Assignment
1222 N 23RD ST, SHEBOYGAN, WI 53081(920) 457-6800(920) 459-1423 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2025, Jul 15, 2024 (2 updates tracked since 2024).

About Erica R. Loppnow Apnp NPPES

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

ERICA R. LOPPNOW APNP (NPI 1346494770) is an individual women's health provider in Sheboygan, Wisconsin, licensed in Wisconsin (3573) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1346494770
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameERICA R. LOPPNOWCredential: APNP
Location Address1222 N 23RD STSheboygan, WI 53081-3171
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(920) 459-1423
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 12, 2008
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
NPI 1346494770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in WI · 3573
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3573 (WI)
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 3573-33 (WI)
1222 N 23RD ST, Sheboygan, WI 53081

Other Names 1

Former Name (1)Erica R. Lutze Apnp

Secondary Practice Location 1

Location 11821 S Webster AveGreen Bay, WI 54301-2253 · Phone (920) 496-4700

Other Identifiers 1

Medicaid1346494770WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Erica R. Loppnow Apnp 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 ID1254495161
PECOS Enrollment IDI20090121000393
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
168 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
116 services68 patients

Hospital Affiliations CMS Care Compare

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 13

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

Radiology (Radiation Oncology)
1222 N 23RD ST
SHEBOYGAN, WI 53081
Internal Medicine (Hematology & Oncology)
1222 N 23RD ST
SHEBOYGAN, WI 53081
Durable Medical Equipment & Medical Supplies
1222 N 23RD ST
SHEBOYGAN, WI 53081
Nurse Practitioner (Family)
1222 N 23RD ST
SHEBOYGAN, WI 53081
Radiology (Radiation Oncology)
1222 N 23RD ST
SHEBOYGAN, WI 53081
Internal Medicine (Hematology & Oncology)
1222 N 23RD ST
SHEBOYGAN, WI 53081
Internal Medicine (Hematology & Oncology)
1222 N 23RD ST
SHEBOYGAN, WI 53081
Internal Medicine (Hematology & Oncology)
1222 N 23RD ST
SHEBOYGAN, WI 53081

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 Loppnow's NPI number?

The NPI number for Erica Loppnow is 1346494770. It was assigned to this individual provider in the NPPES registry on November 12, 2008. The provider is also known as Erica R. Lutze Apnp.

Where is Erica Loppnow located?

Erica Loppnow practices at 1222 N 23rd St, Sheboygan, WI 53081. The listed phone number is (920) 457-6800.

What is Erica Loppnow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Erica Loppnow enrolled in Medicare?

Yes. Erica Loppnow 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.

What insurance does Erica Loppnow accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 2 other insurers list Erica Loppnow 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 Loppnow affiliated with any hospitals?

According to CMS data, Erica Loppnow is affiliated with Aurora Health Care Central Inc.

When was this NPI record last updated?

The NPPES record for Erica Loppnow was last updated on June 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.