No clues yet on why or how, but it's gone. Npcap 0.99-r5
Running NPFInstall.exe -ul then NPFInstall.exe -il restores the adapter, but Nmap isn't able to use it, giving the dnet: Failed to open device lo0 error message.
Reinstalling Npcap creates a new, working Npcap Loopback Adapter.