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DR. KATHLEEN S RENNER D.M.D
NPI 1326120445
Dentist - General Practice in Mount Vernon, IL

Active since October 19, 2006PECOS Enrolled
4201 WILLIAMSON PL, MOUNT VERNON, IL 62864(618) 244-5120 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kathleen S Renner D.m.d NPPES

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

DR. KATHLEEN S RENNER D.M.D (NPI 1326120445) is an individual general practice provider in Mount Vernon, Illinois and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326120445
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KATHLEEN S RENNERCredential: D.M.D
Location Address4201 WILLIAMSON PLMount Vernon, IL 62864-6740
Mailing Address4201 Williamson PlMount Vernon, IL 62864-6740 · (618) 244-5120
Phone(618) 244-5120
Sole ProprietorYes
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1326120445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4201 WILLIAMSON PL, Mount Vernon, IL 62864
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen S Renner D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kathleen Renner's NPI number?

The NPI number for Kathleen Renner is 1326120445. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Kathleen Renner located?

Kathleen Renner practices at 4201 Williamson Pl, Mount Vernon, IL 62864. The listed phone number is (618) 244-5120.

What is Kathleen Renner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kathleen Renner enrolled in Medicare?

Yes. Kathleen Renner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Renner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.