Individual provider Active NPI

Kristin O'Bryon Renwick, M.D.

  • Family Medicine Physician
  • Du Bois, PA
National Provider Identifier
1053761759
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD467885 Issued in PA
Practice address
898 Beaver Dr
Du Bois, PA 15801-2512
Phone
(814) 371-3980
Fax
(814) 371-8317
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD467885 PA Primary

Addresses

Primary practice location

898 Beaver Dr
Du Bois, PA 15801-2512

Mailing address

898 Beaver Dr
Du Bois, PA 15801-2512
Phone (814) 371-3980

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drrewnwick@obryonfm.medentdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190813000834 PA Practitioner - Family Practice 8325332182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians
Obryon Family Medicine IncGroup PAC ID 8426120122, 3 clinicians

Practice addresses (Care Compare)

205 Hampton Ave
Punxsutawney, PA 15767-2133
Phone (814) 938-0148

898 Beaver Dr
Du Bois, PA 15801-2512
Phone (814) 371-3980

Hospital & facility affiliations

  • Penn Highlands Community Nurses Home health agency, Saint Marys, PA, CCN 397028
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Obryon Family Medicine Inc Family Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

898 Beaver Dr
Dubois, PA 15801
Phone (814) 371-3980

Interoperability endpoints

  • Direct secure messaging: krenwick@obryonfm.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 33

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1053761759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012512",
            "telephone_number": "814-371-3980",
            "fax_number": "814-371-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012512",
            "telephone_number": "814-371-3980",
            "fax_number": "814-371-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENWICK",
        "first_name": "KRISTIN",
        "middle_name": "O'BRYON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD467885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drrewnwick@obryonfm.medentdirect.com",
            "affiliation": "N",
            "address_1": "898 Beaver Dr",
            "city": "Du Bois",
            "state": "PA",
            "country_code": "US",
            "postal_code": "158012512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.