Jordan Elizabeth Loose, APNP in Kiel, WI - Medicare Nurse Practitioner

Jordan Elizabeth Loose, APNP is a medicare enrolled "Nurse Practitioner - Family" in Kiel, Wisconsin. Her current practice location is 1160 Service Rd, Kiel, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 894-3322.

Jordan Elizabeth Loose is licensed to practice in Wisconsin (license number 15537) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780429613.

Contact Information

	Jordan Elizabeth Loose, APNP
	1160 Service Rd, Kiel, WI 53042-1281
	(920) 894-3322
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan Elizabeth Loose
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1160 Service Rd, Kiel, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780429613
Provider Enumeration Date: 07/01/2024
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 9133667256
Enrollment ID: I20240820001519

Medical Identifiers

Medical identifiers for Jordan Elizabeth Loose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780429613	NPI	-	NPPES
100285361	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	15537 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan Elizabeth Loose allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group-fox Valley Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Elizabeth Loose is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jordan Elizabeth Loose, APNP N6291 Paul Rd, Brillion, WI 54110-9428 Ph: (920) 901-6066	Jordan Elizabeth Loose, APNP 1160 Service Rd, Kiel, WI 53042-1281 Ph: (920) 894-3322

Reviews and Comments

Nurse Practitioner Nurses in Kiel, WI

Mary Reszczynski, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 632 Fremont St, Kiel, WI 53042 Phone: 920-894-3222
Ashley Bizzell, APNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Service Rd, Kiel, WI 53042 Phone: 920-894-2636
Kristen D Holzwart, MSN, APNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Service Rd, Kiel, WI 53042 Phone: 920-894-2636
Mary Stephanie Wright, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 Highway 67, Kiel, WI 53042 Phone: 920-894-5661 Fax: 920-894-1120
Courtney A Hansen, APNP FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Persnickety Pl, Kiel, WI 53042 Phone: 888-893-6141 Fax: 920-797-4157
Nichole Christine Dutter, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 Hwy 67, Kiel, WI 53042 Phone: 920-496-4700

Jordan Elizabeth Loose, APNP - Medicare Nurse Practitioner in Kiel, WI