RENEE MIKONOWICZ (APNP) – Nurse Practitioner, NPI 1558358259

RENEE MIKONOWICZ (APNP) is a healthcare provider. based in Reedsburg, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 130420 (WI). The NPI Number for RENEE MIKONOWICZ (APNP) is 1558358259

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
RENEE MIKONOWICZ (APNP)
NPI
1558358259
Phone
Not provided
Address
1900 N DEWEY AVE
Enumeration Date
29 September 2005
Last Update Date
27 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6085246487
Graduation Year
2002 (24 years ago)
PAC ID
2860547601
Group Practice PAC ID
9830008259
Professional Enrollment ID
I20090901000205
Address ID
WI539591049RE2000XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

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Provider Addresses for RENEE MIKONOWICZ (APNP)

  • 1900, North Dewey Avenue, Reedsburg, Town of Reedsburg, Sauk County, Wisconsin, 53959, United States

    REEDSBURG, WI 539592214

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-09-01

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
I20090901000205INurse 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 53959)

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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: 9830008259View full group profile
NameSpecialtyState
Nurse PractitionerWI
Orthopedic SurgeryWI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
O P H T H A L M O L O G YWI
General SurgeryWI
Family PracticeWI
Physician AssistantWI
Nurse PractitionerKS

Reviews

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Frequently asked questions

Can I cross-check RENEE MIKONOWICZ (APNP) using NPI 1558358259?
NPI 1558358259 belongs to RENEE MIKONOWICZ (APNP); compare other details if you need extra assurance.
Would RENEE MIKONOWICZ (APNP) appear as active to a payer?
You can treat RENEE MIKONOWICZ (APNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is RENEE MIKONOWICZ (APNP)?
RENEE MIKONOWICZ (APNP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Wisconsin is RENEE MIKONOWICZ (APNP) registered?
Use Reedsburg, Wisconsin as the headline location for RENEE MIKONOWICZ (APNP) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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