DR. ERIN LEE KRUEGER AU.D.
NPI 1427054543
Audiologist-Hearing Aid Fitter in Oshkosh, WI
NPI Status: Active since June 23, 2005
Contact Information
855 N WESTHAVEN DR
STE 200
OSHKOSH, WI
ZIP 54904
Phone: (920) 303-4130
Fax: (920) 303-4148
- Individual
- Female
- Years of Experience 21
- Audiologist-Hearing Aid Fitter
- Accepts Insurance
- Accepts Medicare Approved Payment
About ERIN KRUEGER
This page provides the complete NPI Profile along with additional information for Erin Krueger, a provider established in Oshkosh, Wisconsin with a medical specialization in Audiologist-hearing Aid Fitter and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1427054543 assigned on June 2005. The practitioner's primary taxonomy code is 237600000X with license number 408156 (WI). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1427054543
- Provider Name
- DR. ERIN LEE KRUEGER AU.D.
- Other Name
- DR. ERIN LEE PETTA AU.D.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 855 N WESTHAVEN DR STE 200 OSHKOSH, WI 54904
- Location Phone
- (920) 303-4130
- Location Fax
- (920) 303-4148
- Mailing Address
- 130 2ND ST SUITE 198 NEENAH, WI 54956
- Mailing Phone
- (920) 729-2085
- Mailing Fax
- (920) 303-4148
- Medical School Name
- OTHER
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-23-2005
- Last Update Date
- 12-12-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Audiologist-Hearing Aid Fitter
- Taxonomy Code
- 237600000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 408156
- License State
- WI
- Taxonomy Description
- An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | 408156 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Signature Prestige Bronze $0 Deductible + Dental + Vision - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
00071415 | MEDICARE PIN (08) | WI | |
P95686 | MEDICARE UPIN (02) | WI | |
41147000 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Erin Krueger is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 9032007844
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040304000883
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Comprehensive hearing and speech recognition test
Test to assess middle ear function
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
This service was performed 55 times for 53 patientsA test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
This service was performed 42 times for 41 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $13.47 for a new patient copayment and $16.84 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54904 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99202
- Average New Patient Price $53.9
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $13.47
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 2 | 7 | 0 | 5 | 4 | 5 | 4 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 4 | 7 | 0 | 5 | 8 | 5 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 4 + 7 + 0 + 5 + 8 + 5 + 8 + 24 = 67 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 67 = 3 | 3 |
The NPI number 1427054543 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1457309718 | MAXIE D POLLARD CRNA Individual | Nurse Anesthetist, Certified Registered | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-8700 |
1932158284 | ROBERT L BERNSTEIN MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 456-7511 |
1265481832 | LOUANN M WEIX CRNA Individual | Nurse Anesthetist, Certified Registered | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-8700 |
1730120932 | AMY J RIESE MS CCC - SLP Individual | Speech-Language Pathologist | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 456-7107 |
1811914245 | THOMAS J PLANK MD Individual | Emergency Medicine | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 456-4700 |
1013937119 | JOHN M ROSEBUSH JR. MD Individual | Emergency Medicine | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 456-7400 |
1831110162 | WILLIAM A SACKSTEDER MD Individual | Surgery (Vascular Surgery) | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-8700 |
1073522728 | MS. JUDITH A BROCKMAN APNP Individual | Nurse Practitioner | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-8700 |
1679582209 | MS. LINDA L BIGLER RN Individual | Registered Nurse | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-8700 |
1417062449 | MS. BETH ANN GARCIA CNM Individual | Advanced Practice Midwife | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-8700 |
1407962780 | JOHN S BOYLE MD Individual | Orthopaedic Surgery | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-8700 |
1861509309 | DR. MICHAEL STEVEN KNIER MD Individual | Family Medicine | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-8700 |
1447367990 | MS. GEORGETTE LONG RN Individual | Registered Nurse | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-8700 |
1801903919 | MS. DONNA LAUER TRUSKOWSKI CRNA,MS Individual | Nurse Anesthetist, Certified Registered | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-8700 |
1992890420 | DR. NEIL STUART FREUND D.O. Individual | Internal Medicine (Cardiovascular Disease) | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-8700 |
1720169287 | PAMELA ANN LIPPOLD RN Individual | Registered Nurse | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-4130 |
1356423164 | MRS. SHEILA RAE KLINTWORTH CST-CFA Individual | Technician | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-4130 |
1215010970 | MARCELLA L KING R.N. Individual | Registered Nurse (General Practice) | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-4130 |
1902974868 | JEFFREY JAMES BARNES ATC, LAT, CSCS Individual | Specialist/Technologist (Athletic Trainer) | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 456-7100 |
1750438818 | AURORA MEDICAL GROUP, INC. Organization | Durable Medical Equipment & Medical Supplies | 855 N WESTHAVEN DR OSHKOSH, WI 54904 (920) 303-8700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427054543, enumerated in the NPI registry as an "individual" on June 23, 2005
The provider is located at 855 N Westhaven Dr Ste 200 Oshkosh, Wi 54904 and the phone number is (920) 303-4130
The provider's speciality is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X
The provider has more than 21 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Common Ground. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Medicare beneficiaries should expect a typical cost of $53.9 with an average copayment of $13.47 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Comprehensive hearing and speech recognition test and Test to assess middle ear function.
This NPI record was last updated on June 23, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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