RENATA B PTAK (PA-C) – Physician Assistant, NPI 1902955933

RENATA B PTAK (PA-C) is a healthcare provider. based in Glendale, Wisconsin. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 1779-023 (WI). The NPI Number for RENATA B PTAK (PA-C) is 1902955933

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
RENATA B PTAK (PA-C)
NPI
1902955933
Phone
(414) 461-9250
Address
2501 W SILVER SPRING DR
Enumeration Date
9 January 2007
Last Update Date
30 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9207396971
Graduation Year
2001 (25 years ago)
PAC ID
7416911102
Group Practice PAC ID
9234266511
Professional Enrollment ID
I20041112000643
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for RENATA B PTAK (PA-C)

  • 2501, West Silver Spring Drive, Lincoln Park, Glendale, Milwaukee County, Wisconsin, 53209, United States

    GLENDALE, WI 532094217

    Phone: (414) 461-9250

    Fax: (414) 461-3553

    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)

CMS reports 10 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: IRONWOOD PHARMACEUTICALS, INC ($114).

Total Amount

$194

General + Research + Ownership

Payments

10

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 53209)

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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: 9234266511View full group profile
NameSpecialtyState
-WI

Reviews

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Frequently asked questions

Is RENATA B PTAK (PA-C) listed with a National Provider Identifier?
Yes — RENATA B PTAK (PA-C) has NPI 1902955933 on file in the registry.
Would RENATA B PTAK (PA-C) appear as active to a payer?
You can treat RENATA B PTAK (PA-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with RENATA B PTAK (PA-C)?
RENATA B PTAK (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is RENATA B PTAK (PA-C) associated with Glendale?
Public fields place RENATA B PTAK (PA-C) around Glendale, Wisconsin. Always confirm the exact site before visiting.
Does RENATA B PTAK (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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