LOREN C FUGLESTAD MD NPI 1669456463

NPI Information

  • NPI: 1669456463
  • Provider Name: LOREN C FUGLESTAD, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2714 RIVERVIEW DR
    GREEN BAY, WI
    ZIP 54313
  • Phone: (920) 430-4760

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NPI Details

Loren C Fuglestad, MD is a family medicine in Green Bay, WI with 33 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Loren C Fuglestad, MD NPI is 1669456463. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

2714 RIVERVIEW DR
GREEN BAY, WI
ZIP 54313-715
Phone: (920) 430-4760

The NPI 1669456463 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, clotting time (HCPCS:85610)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Blood creatinine level (HCPCS:82565)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Blood count, hemoglobin (HCPCS:85018)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 12/5/2005 and was last updated on 2/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine35673WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
135673OTHERWISCONSINLICENSE
2073050001MEDICARE OSCAR/CERTIFICATIONWISCONSIN
3P01404701OTHERWISCONSINRAIL ROAD MEDICARE
4000007MEDICARE OSCAR/CERTIFICATIONWISCONSIN
5000107305MEDICARE OSCAR/CERTIFICATIONWISCONSIN
6430800031MEDICARE OSCAR/CERTIFICATIONWISCONSIN
7000002MEDICARE OSCAR/CERTIFICATIONWISCONSIN
8K400120152MEDICARE OSCAR/CERTIFICATIONWISCONSIN
9000012MEDICARE OSCAR/CERTIFICATIONWISCONSIN
10075100103MEDICARE OSCAR/CERTIFICATIONWISCONSIN
11F99323MEDICARE UPINWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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