Individual provider Active NPI

Renata M Jenkin, MD

  • Dermatology Physician
  • Marshfield, WI
National Provider Identifier
1700848462
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036148052 Issued in IL
Practice address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone
(715) 387-5511
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036148052 IL Primary
Dermatology Physician 207N00000X 87033-20 WI

Addresses

Primary practice location

1000 N Oak Ave
Marshfield, WI 54449-5703

Mailing address

1919 Kingsbrook CT
Wheaton, IL 60187-3199
Phone (425) 445-1112

Other practice location 1

1400 Scheuring Rd
De Pere, WI 54115-1067
Phone (920) 964-0229

Other identifiers 2

IdentifierTypeStateIssuer
1700848462MedicaidWA
0296575OtherWAL&I

Other names 1

  • Renata Slapsys Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190208001107 IL Practitioner - Dermatology 8325175078 Reassigns benefits to 2 organizations
I20260313001423 WI Practitioner - Dermatology 8325175078 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Soderstrom Dermatology Center S CGroup PAC ID 2062432651, 31 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone (309) 674-7546

Hospital & facility affiliations

  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions369
Removal or shaving of skin growth36
Skin biopsy142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036148052ILMDDermatology Physician
87033WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flambeau Hospital Inc CurrentSince Mar 9, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 9, 2026 Accepting new patients
Dermatology Partners of the North Shore LLC Dermatology CurrentSince Aug 1, 2019 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Mar 9, 2026 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 9, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 9, 2026 Accepting new patients
Memorial Hospital Inc CurrentSince Mar 9, 2026 Accepting new patients
Soderstrom Dermatology Center S C Dermatology CurrentSince Aug 1, 2024 Accepting new patients
Soderstrom Dermatology Center S C CurrentSince Aug 1, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 9, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 9, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Mar 9, 2026 Accepting new patients
Stephen William Doggett, M.D. PA PastSince Jun 13, 2016 Accepting new patients

Locations

2051 Plainfield Rd
Crest Hill, IL 60403
Phone (815) 730-9900

60 S Soangetaha Rd
Galesburg, IL 61401
Phone (309) 344-5777

1302 7th St
Ste 202
Moline, IL 61265
Phone (309) 277-0772

410 Maxine Dr
Morton, IL 61550
Phone (309) 263-7546

2100 Jacobssen Dr
Normal, IL 61761
Phone (309) 268-9980

400 Skokie Blvd
Ste 475
Northbrook, IL 60062
Phone (847) 272-4433

4909 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 674-7546

2200 Marquette Rd
Peru, IL 61354
Phone (815) 224-7400

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1700848462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 KINGSBROOK CT",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873199",
            "telephone_number": "425-445-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Scheuring Rd",
            "address_purpose": "LOCATION",
            "city": "De Pere",
            "state": "WI",
            "postal_code": "541151067",
            "country_code": "US",
            "telephone_number": "920-964-0229",
            "fax_number": "920-964-0248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKIN",
        "first_name": "RENATA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036148052",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "87033-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700848462",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0296575",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENATA",
            "last_name": "SLAPSYS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.