Thomas Renk, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

13799 Issued in WI

Practice address

1351 Ontario Rd
Green Bay, WI 54311-8302

Phone

(920) 328-1220

NPI assigned

Mar 31, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SBH-Madison LLCGroup PAC ID 7113327834, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SBH-Madison LLC

  • Psychiatric Hospital
  • Middleton, WI
  • NPI 1023884871
  Medicare reassignment Care Compare group NPD
• SBH-Green Bay LLC

  • Psychiatric Hospital
  • Green Bay, WI
  • NPI 1922556778
  Medicare reassignment NPD
• Sequoia Integrative Medical Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Kaukauna, WI
  • NPI 1790312171
  Medicare reassignment
• SBH-Madison LLC

  • Psychiatric Hospital
  • Middleton, WI
  • NPI 1003413816
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1023713039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 ONTARIO RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 ONTARIO RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118302",
            "telephone_number": "920-328-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENK",
        "first_name": "THOMAS",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "13799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Relentless Advance LLC
• Renal Life Link Inc
• Renal Life Link Inc
• Susan Laverne Renard, COTA
• Renew Physical Therapy, Inc
• David William Rentmeester, MD
• Deborah G Rentmeester, PT
• Hannah Rentmeester, AUD
• Michelle M Rentmeester, OT
• Jeremy Jackson Renz, DO

• Psychiatric/Mental Health Nurse Practitioner in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.