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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACE TANNER ERWIN MD
NPI 1760011423
Orthopaedic Surgery - Sports Medicine in Fond Du Lac, WI

Active since April 05, 2020PECOS Enrolled
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937(920) 907-7000(920) 907-7021 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2026, Feb 14, 2025, Nov 17, 2024 and 1 more (4 updates tracked since 2020).

About Dr. Jace Tanner Erwin Md NPPES

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

DR. JACE TANNER ERWIN MD (NPI 1760011423) is an individual sports medicine provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (87336-20) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1760011423
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. JACE TANNER ERWINCredential: MD
Location Address210 WISCONSIN AMERICAN DRFond Du Lac, WI 54937-2999
Mailing Address210 Wisconsin American DrFond Du Lac, WI 54937-2999 · (920) 907-7000 · Fax (920) 907-7021
Phone(920) 907-7000
Fax(920) 907-7021
Sole ProprietorNo
Enumeration DateApril 5, 2020
Last NPPES UpdateAugust 19, 20264 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1760011423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in WI · 87336-20
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54937
Open in Google Maps ↗

Secondary Practice Location 1

Location 1234 Goodman StreetCincinnati, OH 45219-0796 · Phone (513) 558-4592 · Fax (513) 558-2220

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jace Tanner Erwin Md 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.

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.

JEANETTE ROEHL APNP FNP
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7000
NICHOLE R NELSON APNP
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7025
THERESA J BASELEY NP
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7000
DONALD C STEWARD MD
Pediatrics
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7000
JANET J TESKE APNP
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7025
BARBARA D ZINK MD
Pediatrics
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7000
DR. STEVEN A SANDSTROM M.D.
Psychiatry & Neurology (Neurology)
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-7000
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Fond Du Lac County (920) 907-0689

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 Jace Erwin's NPI number?

The NPI number for Jace Erwin is 1760011423. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Jace Erwin located?

Jace Erwin practices at 210 Wisconsin American Dr, Fond Du Lac, WI 54937. The listed phone number is (920) 907-7000.

What is Jace Erwin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jace Erwin enrolled in Medicare?

Yes. Jace Erwin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jace Erwin was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.