Kristopher Renzi, NP in Gary, IN - Medicare Nurse Practitioner

Kristopher Renzi, NP is a medicare enrolled "Nurse Practitioner - Family" in Gary, Indiana. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cleanslate Medical Group Of Indiana Llc and his current practice location is 2318 W 5th Ave, Gary, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 885-0116.

Kristopher Renzi is licensed to practice in Indiana (license number 71006295A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164876447.

Contact Information

	Kristopher Renzi, NP
	2318 W 5th Ave, Gary, IN 46404-1331
	(219) 885-0116
	(219) 881-0522

Map and Direction

Provider's Profile

Full Name	Kristopher Renzi
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	2318 W 5th Ave, Gary, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristopher Renzi graduated from nursing school in 2015

NPI Data:

NPI Number: 1164876447
Provider Enumeration Date: 04/22/2016
Last Update Date: 04/07/2017

Medicare PECOS Information:

PECOS PAC ID: 9537451109
Enrollment ID: I20160630001601

Medical Identifiers

Medical identifiers for Kristopher Renzi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164876447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71006295A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cleanslate Medical Group Of Indiana Llc	4880963909	65

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristopher Renzi allows following entities to bill medicare on his behalf.

Entity Name	Northwest Cancer Centers, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578527826 PECOS PAC ID: 4587553474 Enrollment ID: O20040310001213

Entity Name	Cleanslate Medical Group Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristopher Renzi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristopher Renzi, NP 2272 N Main St, Crown Point, IN 46307-1802 Ph: (219) 661-5601	Kristopher Renzi, NP 2318 W 5th Ave, Gary, IN 46404-1331 Ph: (219) 885-0116

Reviews and Comments

Nurse Practitioner Nurses in Gary, IN

Mrs. Amanda Joy Dech, MSN/FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3229 Broadway Ste 205, Gary, IN 46409 Phone: 219-806-3000
Mrs. Laresse Harris, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264
Mrs. Nkechi Pauline Onyeukwu, RN MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3814 Grant Street, Gary, IN 46408 Phone: 219-884-3447 Fax: 219-884-3512
Miss Nathalie Maherani Batchassi, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Grant St, Gary, IN 46404 Phone: 219-882-9900
Michelle Wathier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Broadway, Gary, IN 46408 Phone: 219-237-5170
Akeem Olasunkanmi Kareem, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264
Mr. Darnell Rather, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4900 Broadway, Gary, IN 46408 Phone: 219-237-5170

Kristopher Renzi, NP - Medicare Nurse Practitioner in Gary, IN