Individual provider Active NPI

Renee K Remington

  • Acute Care Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1295843266
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
111138 Issued in WI
Practice address
2801 W Kinnickinnic River Pkwy Ste 460
Milwaukee, WI 53215-3695
Phone
(414) 389-7388
Fax
(414) 389-9069
NPI assigned
Aug 29, 2006
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 111138 WI Primary
Adult Health Nurse Practitioner 363LA2200X 111138 WI

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy Ste 460
Milwaukee, WI 53215-3695

Mailing address

2801 W Kinnickinnic River Pkwy Ste 460
Milwaukee, WI 53215-3695
Phone (414) 389-7388

Other identifiers 1

IdentifierTypeStateIssuer
43873500MedicaidWI

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
I20050201000039 WI Practitioner - Nurse Practitioner 5698733962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zenith Healthcare SCGroup PAC ID 3476774001, 13 clinicians

Practice addresses (Care Compare)

2801 W Kinnickinnic River Pkwy
Suite 446
Milwaukee, WI 53215-3695
Phone (262) 359-1652

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111138WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Healthcare SC CurrentSince Jan 1, 2019 Accepting new patients
Fort Healthcare Inc CurrentSince Jun 19, 2023 Accepting new patients
Fort Healthcare Inc CurrentSince Jun 19, 2023 Accepting new patients
Phoenixc Healthcare, SC CurrentSince Jan 1, 2019 Accepting new patients

Locations

28063 Network Pl
Chicago, IL 60673

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

3506 Washington Rd
Kenosha, WI 53144
Phone (262) 653-2800

6121 Green Bay Rd
Ste 100
Kenosha, WI 53142
Phone (262) 945-7557

8400 Sheridan Rd
Kenosha, WI 53143
Phone (262) 658-4141

2801 W Kinnickinnic River Pkwy
Ste 446
Milwaukee, WI 53215

2801 W Kinnickinnic River Pkwy
Ste 460
Milwaukee, WI 53215
Phone (414) 384-4533

7137 236th Ave
Salem, WI 53168
Phone (262) 800-4672

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

Organizations & group practices 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1295843266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 460",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153695",
            "telephone_number": "414-389-7388",
            "fax_number": "414-389-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 460",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153695",
            "telephone_number": "414-389-7388",
            "fax_number": "414-389-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMINGTON",
        "first_name": "RENEE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "111138",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "111138",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43873500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.