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JORDAN ELIZABETH LOOSE APNP
NPI 1780429613
Nurse Practitioner - Family in Kiel, WI

Active since July 01, 2024PECOS EnrolledAccepts Medicare Assignment
1160 SERVICE RD, KIEL, WI 53042(920) 894-3322 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2024, Jul 1, 2024 (2 updates tracked since 2024).

About Jordan Elizabeth Loose Apnp NPPES

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

JORDAN ELIZABETH LOOSE APNP (NPI 1780429613) is an individual family provider in Kiel, Wisconsin, licensed in Wisconsin (15537) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Ascension Calumet Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780429613
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJORDAN ELIZABETH LOOSECredential: APNP
Location Address1160 SERVICE RDKiel, WI 53042-1281
Mailing AddressN6291 Paul RdBrillion, WI 54110-9428 · (920) 901-6066
Phone(920) 894-3322
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 1, 2024
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1780429613 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 WI · 15537
1160 SERVICE RD, Kiel, WI 53042
Open in Google Maps ↗

Other Identifiers 1

Medicaid100285361WI

Accepted Insurance

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

Jordan Elizabeth Loose 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 ID9133667256
PECOS Enrollment IDI20240820001519
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.

Hospital Affiliations CMS Care Compare

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

Ascension Calumet Hospital

Critical Access Hospitals · Chilton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521317
Location614 Memorial DriveChilton, WI 53014 · Calumet County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53042 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

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

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Clinic/Center (Multi-Specialty)
1160 SERVICE RD
KIEL, WI 53042
Manitowoc County (920) 894-3322

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 Jordan Loose's NPI number?

The NPI number for Jordan Loose is 1780429613. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Jordan Loose located?

Jordan Loose practices at 1160 Service Rd, Kiel, WI 53042. The listed phone number is (920) 894-3322.

What is Jordan Loose's specialty?

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

Is Jordan Loose enrolled in Medicare?

Yes. Jordan Loose 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 Jordan Loose accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Jordan Loose 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 Jordan Loose affiliated with any hospitals?

According to CMS data, Jordan Loose is affiliated with Ascension Calumet Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Loose was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.