Individual provider Active NPI

Renee M Uzobuihe, APNP

  • Gerontology Nurse Practitioner
  • Madison, WI
National Provider Identifier
1902615016
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1633033 Issued in WI
Practice address
3401 Maple Grove Dr
Madison, WI 53719-5013
Phone
(608) 845-0439
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1633033 WI Primary

Addresses

Primary practice location

3401 Maple Grove Dr
Madison, WI 53719-5013

Mailing address

7234 E Valley Ridge Dr
Madison, WI 53719-2354
Phone (608) 658-2424

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
I20260218003166 WI Practitioner - Nurse Practitioner 4082194956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Informe Healthcare Il LLCGroup PAC ID 8123448784, 24 clinicians

Practice addresses (Care Compare)

801 Braxton PL
Madison, WI 53715-1415
Phone (414) 242-5468

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1633033WIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Informe Healthcare Il LLC CurrentSince Dec 17, 2025 Accepting new patients

Locations

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

801 Braxton Pl
Madison, WI 53715
Phone (608) 251-1010

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1902615016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7234 E VALLEY RIDGE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192354",
            "telephone_number": "608-658-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 MAPLE GROVE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537195013",
            "telephone_number": "608-845-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOBUIHE",
        "first_name": "RENEE",
        "middle_name": "M",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "1633033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.