Individual provider Active NPI

Renee S Wenzlaff, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1124271549
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1601-33 Issued in WI
Practice address
2717 N Grandview Blvd Ste 202
Waukesha, WI 53188-1660
Phone
(262) 513-0700
Fax
(262) 513-0707
NPI assigned
Oct 29, 2008
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1601 WI
Pediatric Nurse Practitioner 363LP0200X 98690 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1601-33 WI Primary

Addresses

Primary practice location

2717 N Grandview Blvd Ste 202
Waukesha, WI 53188-1660

Mailing address

2717 N Grandview Blvd Ste 202
Waukesha, WI 53188-1660
Phone (262) 513-0700

Other practice location 1

1025 N Broadway
Milwaukee, WI 53202-3109
Phone (414) 277-2369

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041013000784 WI Practitioner - Nurse Practitioner 3870553977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cary J Kohlenberg MD SCGroup PAC ID 9537140611, 9 clinicians

Practice addresses (Care Compare)

227 E Washington St
Slinger, WI 53086-9585
Phone (262) 644-5926

845 County NN
Mukwonago, WI 53149
Phone (262) 363-6830

Merit-based Incentive Payment System (MIPS)

Final score
35.83 of 100Reported as group
Quality
9.6
Promoting interoperability
0
Improvement activities
0
Cost
76.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1601WIMDPhysician Assistant
98690WIMDPediatric Nurse Practitioner
1601-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cary J Kohlenberg MD SC CurrentSince Sep 16, 2022 Accepting new patients

Locations

845 Highway NN E
Mukwonago, WI 53149
Phone (262) 363-6830

2717 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 513-0700

2717 N Grandview Blvd
Ste 202
Waukesha, WI 53188
Phone (262) 513-0700

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1124271549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD STE 202",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881660",
            "telephone_number": "262-513-0700",
            "fax_number": "262-513-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD STE 202",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881660",
            "telephone_number": "262-513-0700",
            "fax_number": "262-513-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532023109",
            "country_code": "US",
            "telephone_number": "414-277-2369",
            "fax_number": "414-277-2897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENZLAFF",
        "first_name": "RENEE",
        "middle_name": "S",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1601",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "98690",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "1601-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.