Tracy A Renn, FNP-BC, ACNS-BC APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2077005215-22 Issued in WI

Practice address

246 Tierney Dr
New Richmond, WI 54017-2515

Phone

(715) 246-2521

Fax

(715) 246-7977

NPI assigned

Dec 4, 2006

Last updated

Sep 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Family Medical Center, SC

  • Clinic/Center
  • New Richmond, WI
  • NPI 1760574933
  NPD (past)
• St. Paul Heart Clinic, P.a.

  • Cardiovascular Disease Physician
  • Saint Paul, MN
  • NPI 1215996137
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220745600000",
    "number": "1255409546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 WILLOW RIVER DR",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540166944",
            "telephone_number": "715-246-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 TIERNEY DR",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172515",
            "telephone_number": "715-246-2521",
            "fax_number": "715-246-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENN",
        "first_name": "TRACY",
        "middle_name": "A",
        "credential": "FNP-BC, ACNS-BC APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2077005215-22",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "WI",
            "license": "2006008321-05",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36024100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Chaves Read, PT
• Carey Reetz, MS CCC-SLP
• Reformedicine, S.C.
• Robin M Reichert, MD
• Joseph Stephen Renier
• Sarah Richardson
• River Valley Anesthesia, Inc.
• Emily Ronning, COTA
• Christine Rukamp
• Valerie Ryan, LPC-IT

• Family Nurse Practitioner in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2008; 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.