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

DR. ERICA KLEIST MD
NPI 1780389668
Student in an Organized Health Care Education/Training Program in Green Bay, WI

Q: What is Erica Kleist's NPI number?

The NPI number for Erica Kleist is 1780389668. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Q: What is Erica Kleist's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Erica Kleist was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.

Active since March 31, 2023PECOS Enrolled

3021 VOYAGER DR, GREEN BAY, WI 54311(920) 431-1810 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Mar 31, 2023 (2 updates tracked since 2023).

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About Dr. Erica Kleist Md NPPES

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

DR. ERICA KLEIST MD (NPI 1780389668) is an individual student in an organized health care education/training program in Green Bay, Wisconsin, licensed in Texas (BP10099251) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780389668

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. ERICA KLEISTCredential: MD

Location Address3021 VOYAGER DRGreen Bay, WI 54311-8303

Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700

Phone(920) 431-1810

Sole ProprietorNo

Enumeration DateMarch 31, 2023

Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1780389668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in TX · BP10099251

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3021 VOYAGER DR, Green Bay, WI 54311

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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. Erica Kleist 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.

DR. SARA CHEEMA MD

Student in an Organized Health Care Education/Training Program