Individual provider Active NPI

Renee Mikonowicz, APNP

  • Nurse Practitioner
  • Reedsburg, WI
National Provider Identifier
1558358259
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2259 Issued in WI
Practice address
1900 N Dewey Ave
Reedsburg, WI 53959-2214
Phone
(608) 524-6477
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 130420 WI
Nurse Practitioner 363L00000X 2259 WI Primary

Addresses

Primary practice location

1900 N Dewey Ave
Reedsburg, WI 53959-2214

Mailing address

1900 N Dewey Ave
Reedsburg, WI 53959-2214

Other identifiers 1

IdentifierTypeStateIssuer
43986900MedicaidWI

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
I20090901000205 WI Practitioner - Nurse Practitioner 2860547601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 E Main St
Reedsburg, WI 53959-1936
Phone (608) 768-3900

1104 21St St
Reedsburg, WI 53959-1156
Phone (608) 768-3900

1900 N Dewey Ave
Reedsburg, WI 53959-1098
Phone (608) 524-6477

2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (608) 524-6487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
94.84
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130420WIMDRegistered Nurse
2259WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reedsburg Area Medical Center, Inc. CurrentSince Sep 18, 2010 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Sep 18, 2010 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

1900 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6477

1900 N Dewey Ave
Ste A
Reedsburg, WI 53959
Phone (608) 524-6477

Interoperability endpoints

  • Direct secure messaging: rmikonowicz656471@direct.unitypoint.org

Organizations & group practices 4

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 3

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1558358259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592214",
            "telephone_number": "608-524-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKONOWICZ",
        "first_name": "RENEE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "130420",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43986900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

Verify at the official NPI Registry.