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ERIN KOEPPLINGER FNP-C
NPI 1841629011
Nurse Practitioner in Bay City, MI

Active since November 07, 2013PECOS EnrolledAccepts Medicare Assignment
90.51/100
CMS Quality Rating
4497 SHEFFIELD PL, BAY CITY, MI 48706(989) 894-8400(989) 883-9131 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erin Koepplinger Fnp-c NPPES

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

ERIN KOEPPLINGER FNP-C (NPI 1841629011) is an individual nurse practitioner in Bay City, Michigan, licensed in Michigan (4704263650) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1841629011
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameERIN KOEPPLINGERCredential: FNP-C
Location Address4497 SHEFFIELD PLBay City, MI 48706-2554
Mailing Address106 E Main StSebewaing, MI 48759-1568 · (989) 883-3800 · Fax (989) 883-9131
Phone(989) 894-8400
Fax(989) 883-9131
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 7, 2013
✔ NPI 1841629011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704263650
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4497 SHEFFIELD PL, Bay City, MI 48706
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Erin Koepplinger Fnp-c 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 ID5294965315
PECOS Enrollment IDI20140311000305
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 8

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
299 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
295 services268 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
150 services138 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
83 services75 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
78 services77 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
70 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48706 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.02
Improvement Activities40

Reported Quality Measures

Advance Care Plan
86%658 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%101 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 79% · 114 patients
75%114 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

MADELINE ROSE WELCH PA-C
Physician Assistant
4497 SHEFFIELD PL
BAY CITY, MI 48706
Bay County (989) 894-8400
JESSICA LYNN LAURIA NP
Nurse Practitioner
4497 SHEFFIELD PL
BAY CITY, MI 48706
Bay County (989) 894-8400
KORRIE LOUISE WILLSON FNP-BC
Nurse Practitioner (Family)
4497 SHEFFIELD PL
BAY CITY, MI 48706
Bay County (989) 894-8400
MRS. LISA A. BROWN PAC
Physician Assistant (Surgical)
4497 SHEFFIELD PL
BAY CITY, MI 48706
Bay County (989) 883-3800

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 Erin Koepplinger's NPI number?

The NPI number for Erin Koepplinger is 1841629011. It was assigned to this individual provider in the NPPES registry on November 7, 2013.

Where is Erin Koepplinger located?

Erin Koepplinger practices at 4497 Sheffield Pl, Bay City, MI 48706. The listed phone number is (989) 894-8400.

What is Erin Koepplinger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Erin Koepplinger enrolled in Medicare?

Yes. Erin Koepplinger 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 Erin Koepplinger accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Erin Koepplinger 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.

When was this NPI record last updated?

The NPPES record for Erin Koepplinger was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.