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RENEE R BRUCKNER
NPI 1295614022
Nurse Practitioner - Family in Appleton, WI

Active since August 27, 2025PECOS EnrolledAccepts Medicare Assignment
3925 N GATEWAY DR, APPLETON, WI 54913(920) 830-6877 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2025, Nov 25, 2025 (2 updates tracked since 2025).

About Renee R Bruckner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEE R BRUCKNER (NPI 1295614022) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (17191-33) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1295614022
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRENEE R BRUCKNER
Location Address3925 N GATEWAY DRAppleton, WI 54913-7863
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Phone(920) 830-6877
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 27, 2025
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1295614022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 17191-33
3925 N GATEWAY DR, Appleton, WI 54913
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Renee R Bruckner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476047481
PECOS Enrollment IDI20251208003076
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOX VALLEY HEMATOLOGY & ONCOLOGY S C
Pharmacy (Community/Retail Pharmacy)
3925 N GATEWAY DR, SUITE 100
APPLETON, WI 54913
Outagamie County (920) 702-4802
BRITTANY E GOODRICH-BRAUN
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 830-6877
STEVEN R HAMEL APN FP-C
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 830-6877
HEATHER SCHEELK DNP, FNP-BC
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 840-4258
DIRK STEINERT MD
Internal Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 830-6877
SABA R KHAN DO
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 702-6371
MS. CYNTHIA FRANCES SUSEDIK D.O.
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 830-6877
KATHLEEN M ERDAHL
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 830-6877

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Bruckner's NPI number?

The NPI number for Renee Bruckner is 1295614022. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Renee Bruckner located?

Renee Bruckner practices at 3925 N Gateway Dr, Appleton, WI 54913. The listed phone number is (920) 830-6877.

What is Renee Bruckner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Renee Bruckner enrolled in Medicare?

Yes. Renee Bruckner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Renee Bruckner accept?

Health plans from CareSource (Common Ground Healthcare) list Renee Bruckner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Renee Bruckner affiliated with any hospitals?

According to CMS data, Renee Bruckner is affiliated with Thedacare Regional Med Ctr - Neenah.

When was this NPI record last updated?

The NPPES record for Renee Bruckner was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.