KRISTIN L. RUBENZER (FNP-BC) – Family Nurse Practitioner, NPI 1003124819

KRISTIN L. RUBENZER (FNP-BC) is a healthcare provider. based in Green bay, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4229-33 (WI). The NPI Number for KRISTIN L. RUBENZER (FNP-BC) is 1003124819

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN L. RUBENZER (FNP-BC)
NPI
1003124819
Phone
(920) 496-4700
Address
PO BOX 19070
Enumeration Date
15 September 2010
Last Update Date
22 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158399280
Graduation Year
2010 (16 years ago)
PAC ID
7214118512
Group Practice PAC ID
4486831328
Professional Enrollment ID
I20110218001005
Address ID
WI547013016EA3802XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

6,033 NURSE PRACTITIONER in WI

Provider Addresses for KRISTIN L. RUBENZER (FNP-BC)

  • PO BOX 19070

    GREEN BAY, WI 543079070

    Phone: (920) 496-4700

    Type: Mailing

  • 1125 BROADWAY ST N

    SUITE 3

    MENOMONIE, WI 547511578

    Phone: (715) 309-4451

    Type: Location

  • 719 W HAMILTON AVE STE B

    EAU CLAIRE, WI 547016970

    Phone: (715) 552-9784

    Fax: (715) 835-6370

    Type: Mailing

  • 2919 STOUT RD

    MENOMONIE, WI 547512313

    Phone: (715) 309-4451

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Novo Nordisk Inc ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110218001005INurse PractitionerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54307)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486831328View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineWI
Certified Nurse Midwife (Cnm)WI
-WI
Family PracticeWI
Family PracticeWI
P O D I A T R YWI
O B S T E T R I C S/ G Y N E C O L O G YWI
Internal MedicineWI
Physician AssistantWI
Physician AssistantWI

Reviews

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Frequently asked questions

What unique ID ties claims to KRISTIN L. RUBENZER (FNP-BC)?
NPI 1003124819 is assigned to KRISTIN L. RUBENZER (FNP-BC) under the national enumeration system.
Is KRISTIN L. RUBENZER (FNP-BC)'s NPI currently valid?
The extract we use shows KRISTIN L. RUBENZER (FNP-BC) as active.
What kind of provider is KRISTIN L. RUBENZER (FNP-BC)?
The page reflects Family Nurse Practitioner for KRISTIN L. RUBENZER (FNP-BC). Clinical services aligned with this taxonomy classification.
What location shows for KRISTIN L. RUBENZER (FNP-BC)?
We surface Green Bay, Wisconsin for KRISTIN L. RUBENZER (FNP-BC) based on available NPPES addresses.
How can I contact KRISTIN L. RUBENZER (FNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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