Individual provider Active NPI

Renee Brongo, N.P.

  • Family Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1306092432
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2008005372 Issued in WV
Practice address
58 16TH St
Wheeling Clinic
Wheeling, WV 26003-3660
Phone
(304) 233-8788
Fax
(304) 233-2730
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2008005372 WV Primary

Addresses

Primary practice location

58 16TH St
Wheeling Clinic
Wheeling, WV 26003-3660

Mailing address

58 16TH St
Wheeling Clinic
Wheeling, WV 26003-3660
Phone (304) 233-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20090223000601 WV Practitioner - Nurse Practitioner 0042375230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

58 16TH St
Wheeling, WV 26003-3660
Phone (304) 234-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008005372WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc CurrentSince Sep 1, 2019 Accepting new patients
Lisa C Hill MD Past Accepting new patients
Wheeling Hospital Inc Past Accepting new patients

Locations

58 16th St
Wheeling, WV 26003
Phone (304) 234-1985

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

58 16th St
Ste 201
Wheeling, WV 26003
Phone (304) 234-1935

58 16th St
Fl 4
Wheeling, WV 26003
Phone (304) 233-8788

58 16th St
Ste 404
Wheeling, WV 26003
Phone (304) 233-8788

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1306092432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 16TH ST",
            "address_2": "WHEELING CLINIC",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "304-233-8788",
            "fax_number": "304-233-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 16TH ST",
            "address_2": "WHEELING CLINIC",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "304-233-8788",
            "fax_number": "304-233-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONGO",
        "first_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "2008005372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.