Individual provider Active NPI

Rene L Buenzow, DNP, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Portage, WI
National Provider Identifier
1548214810
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10148-33 Issued in WI
Practice address
2901 Hunters TRL
Portage, WI 53901-3403
Phone
(608) 742-5518
Fax
(608) 268-9780
NPI assigned
May 20, 2006
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 255039 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10148-33 WI Primary

Addresses

Primary practice location

2901 Hunters TRL
Portage, WI 53901-3403

Mailing address

806 Stoney Hill LN
Cottage Grove, WI 53527-9184
Phone (563) 422-0437

Other identifiers 2

IdentifierTypeStateIssuer
100101032MedicaidWI
100268176MedicaidWI

Other names 1

  • Rene L Kriener Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050912001134 IA Practitioner - Nurse Practitioner 3274566187 Reassigns benefits to 1 organization
I20200818001250 WI Practitioner - Nurse Practitioner 3274566187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMS Clinical Services of Wisconsin SCGroup PAC ID 6709279482, 8 clinicians

Practice addresses (Care Compare)

8333 Greenway Blvd
Suite 240
Middleton, WI 53562-3684
Phone (630) 974-6602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255039WIMDNurse Practitioner
10148-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Aug 15, 2005 Accepting new patients
TMS Clinical Services of Wisconsin SC CurrentSince Oct 1, 2025 Accepting new patients
Stoughton Hospital Association CurrentSince Nov 25, 2024 Accepting new patients
Community Service Associates, SC CurrentSince May 27, 2025 Accepting new patients
Stoughton Hospital Association CurrentSince Nov 25, 2024 Accepting new patients
Gundersen Clinic LTD CurrentSince Aug 15, 2005 Accepting new patients

Locations

235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101

1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

2702 International Ln
Madison, WI 53704
Phone (608) 405-5712

2702 International Ln
Ste 102
Madison, WI 53704
Phone (608) 280-2636

8333 Greenway Blvd
Ste 240
Middleton, WI 53562

2901 Hunters Trl
Portage, WI 53901
Phone (608) 742-5518

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

2448 S 102nd St
Ste 180
West Allis, WI 53227
Phone (414) 895-4765

Interoperability endpoints

  • Direct secure messaging: rbuenzow392633@direct-ehr-ssmhc.com

Organizations & group practices 6

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1548214810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 STONEY HILL LN",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535279184",
            "telephone_number": "563-422-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 HUNTERS TRL",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539013403",
            "telephone_number": "608-742-5518",
            "fax_number": "608-268-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENZOW",
        "first_name": "RENE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "255039",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "10148-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100101032",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268176",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENE",
            "last_name": "KRIENER",
            "middle_name": "L",
            "credential": "DNP, PMHNP-BC, APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portage, WI

Sources for this page

Verify at the official NPI Registry.