Individual provider Active NPI

Renee Lorraine Reger-Kelsey, BSN, RN

  • School Registered Nurse
  • Madison, WI
National Provider Identifier
1083550669
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
170297-030 Issued in WI
Practice address
1610 Ruskin St
Madison, WI 53704-3469
Phone
(608) 204-2100
Fax
(608) 467-0573
NPI assigned
Apr 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WS0200X 170297-030 WI Primary

Addresses

Primary practice location

1610 Ruskin St
Madison, WI 53704-3469

Mailing address

730 Eagle Crest Dr
Madison, WI 53704-6425
Phone (608) 347-1567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
170297-030WIMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1083550669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 EAGLE CREST DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537046425",
            "telephone_number": "608-347-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 RUSKIN ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043469",
            "telephone_number": "608-204-2100",
            "fax_number": "608-467-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGER-KELSEY",
        "first_name": "RENEE",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "WI",
            "license": "170297-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.