NICHOLE RENSKO (NPI# 1427507045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427507045 |
| Entity Type | Individual |
| Full Name | NICHOLE RENSKO |
| Credential | PA-C |
| Practice Address |
15 S 8th St Indiana PA 15701-2776 |
| Mailing Address |
103 Pine St Seward PA 15954-3001 |
| Practice Telephone | 7244630476 |
| Mailing Telephone | 7245493684 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA058462 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15 S 8TH ST |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647053 | Ann R Jesick | Family Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2005-08-29 |
| 1659626786 | Ashley Rae Ingham | Physician Assistant | 15 S 8th St, Indiana, PA 15701-2776 | 2012-07-15 |
| 1063703742 | Pauline D Balkaransingh | Pediatrics | 15 S 8th St, Ste 200, Indiana, PA 15717 | 2011-04-28 |
| 1659682110 | Nervana T. Mahmoud | Internal Medicine | 15 S 8th St, Suite 201, Indiana, PA 15701-2776 | 2010-06-29 |
| 1588994370 | Melissa Lynn Duncan | Physician Assistant | 15 S 8th St, Indiana, PA 15701-2776 | 2009-12-30 |
| 1083816979 | Jennifer May Shobert | Physician Assistant | 15 S 8th St, Suite 200, Indiana, PA 15701-2776 | 2007-06-03 |
| 1467589796 | Indiana Pediatric Associates, PC | Pediatrics | 15 S 8th St, Ste 200, Indiana, PA 15701-2776 | 2007-02-27 |
| 1477563468 | Diane L Metzger | Internal Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2006-08-09 |
| 1821004342 | Edward P Mcdowell | Internal Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2006-08-01 |
| 1588686398 | John S Gregg Md | Internal Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2006-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760036941 | Alyson Rose Vinglish | Physician Assistant | 120 Irmc Dr Ste 100, Indiana, PA 15701-3674 | 2019-07-26 |
| 1174180590 | Taylor Marie Pohl | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-05-21 |
| 1467963280 | Mary Kathleen Harmon | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2017-10-19 |
| 1003263302 | Sherry Sagath | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2016-05-17 |
| 1245600337 | Nicole Briana Vittone | Physician Assistant | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 | 2015-10-01 |
| 1619352820 | Shenggao Han Md LLC | Physician Assistant | 625 Rustic Lodge Rd, Indiana, PA 15701-3440 | 2015-07-29 |
| 1871997155 | John Clair | Physician Assistant | 625 Rustic Lodge Rd, Indiana, PA 15701-3440 | 2014-10-15 |
| 1700217007 | Donald George | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2013-12-11 |
| 1194038562 | Courtney Michele Hawkins | Physician Assistant | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 | 2010-07-14 |
| 1588994370 | Melissa Lynn Duncan | Physician Assistant | 15 S 8th St, Indiana, PA 15701-2776 | 2009-12-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.