LISA ANN RIENOW NP
NPI 1578110490
Nurse Practitioner - Family in Green Bay, WI

Q: What is Lisa Rienow's NPI number?

The NPI number for Lisa Rienow is 1578110490. It was assigned to this individual provider in the NPPES registry on August 26, 2019. The provider is also known as Lisa Ann Bradley.

Q: What is Lisa Rienow's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Rienow was last updated on August 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 26, 2019PECOS EnrolledAccepts Medicare Assignment

2851 UNIVERSITY AVE, GREEN BAY, WI 54311(920) 431-2500 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lisa Ann Rienow Np NPPES

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

LISA ANN RIENOW NP (NPI 1578110490) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (F07190435) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Holy Family Memorial, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1578110490

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA ANN RIENOWCredential: NP

Location Address2851 UNIVERSITY AVEGreen Bay, WI 54311-5855

Mailing Address5712 Aspen CtDenmark, WI 54208-9491 · (920) 530-0208

Phone(920) 431-2500

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 26, 2019

✔ NPI 1578110490 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 · F07190435

2851 UNIVERSITY AVE, Green Bay, WI 54311

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Other Names 1

Former Name (1)Lisa Ann Bradley

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

Lisa Ann Rienow Np 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 ID2860925336

PECOS Enrollment IDI20241023002046

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.

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520107

Location2300 Western AveManitowoc, WI 54221 · Manitowoc County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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.

MILO C. HUEMPFNER CBOC

Clinic/Center (VA)