Individual provider Active NPI

Renee M Ray, PA

  • Physician Assistant
  • Meadville, PA
National Provider Identifier
1730151945
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA000803 Issued in PA
Practice address
321 Arch Street Ste 101
Meadville, PA 16335
Phone
(814) 333-7109
Fax
(814) 333-7108
NPI assigned
Feb 2, 2006
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA000803 PA Primary

Addresses

Primary practice location

321 Arch Street Ste 101
Meadville, PA 16335

Mailing address

321 Arch St Ste 101
Meadville, PA 16335-3214
Phone (814) 333-7109

Other identifiers 1

IdentifierTypeStateIssuer
103142620MedicaidPA

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
I20100720000370 PA Practitioner - Physician Assistant 6709918238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whole Health Joint Replacement Institute LLCGroup PAC ID 2567721194, 9 clinicians

Practice addresses (Care Compare)

321 Arch St
Suite 101
Meadville, PA 16335-3214
Phone (814) 333-7109

321 Arch St
Suite 101
Meadville, PA 16335-6576

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.93 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.45

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA000803PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Health Wellness Institute, PLLC Orthopaedic Surgery CurrentSince Apr 6, 2023 Accepting new patients

Locations

3347 W 12th St
Ste 104
Erie, PA 16505
Phone (814) 333-7109

321 Arch St
Ste 101
Meadville, PA 16335
Phone (814) 333-7109

Interoperability endpoints

  • Direct secure messaging: rray@whj2106.srs-direct.com

Organizations & group practices 2

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 1

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1730151945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 ARCH ST STE 101",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353214",
            "telephone_number": "814-333-7109",
            "fax_number": "814-333-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ARCH STREET STE 101",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "814-333-7109",
            "fax_number": "814-333-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "RENEE",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA000803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103142620",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.