Individual provider Active NPI

Rena Marissa Israel, PA-C

  • Surgical Physician Assistant
  • Butler, PA
National Provider Identifier
1205662186
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
127 Oneida Valley Rd
Butler, PA 16001-2239
Phone
(877) 247-2717
NPI assigned
Sep 9, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

127 Oneida Valley Rd
Butler, PA 16001-2239

Mailing address

127 Oneida Valley Rd
Butler, PA 16001-2239
Phone (877) 247-2717

Other practice location 1

1 Hospital Way
Butler, PA 16001-4670
Phone (877) 247-2717

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924000681 PA Practitioner - Physician Assistant 8820539448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670

1 Hospital Way 4
Butler Infectious Disease Services
Butler, PA 16001-4670
Phone (724) 284-4309

127 Oneida Valley Rd
Butler, PA 16001-2239

127 Oneida Valley Rd
Butler, PA 16001-2246

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2251
Phone (833) 995-0118

2602 Wilmington Rd
Suite 101
New Castle, PA 16105-1539
Phone (833) 391-0736

330 N Point Dr
Clarion, PA 16214-3873

One Hospital Way 4TH Floor
BHS Women's Care Associates
Butler, PA 16001-4670
Phone (844) 765-2845

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Oct 7, 2024 Accepting new patients
Butler Medical Providers CurrentSince Oct 7, 2024 Accepting new patients
Butler Medical Providers Past Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

127 Oneida Valley Rd
Ste 202
Butler, PA 16001
Phone (844) 282-4370

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

330 N Point Dr
Ste 301
Clarion, PA 16214
Phone (814) 393-6052

21 Franklin Village Mall
Ste 2
Kittanning, PA 16201
Phone (724) 543-1386

Organizations & group practices 5

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1205662186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ONEIDA VALLEY RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012239",
            "telephone_number": "877-247-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ONEIDA VALLEY RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012239",
            "telephone_number": "877-247-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Way",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160014670",
            "country_code": "US",
            "telephone_number": "877-247-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "RENA",
        "middle_name": "MARISSA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.