MARIE J. GALVAN RENELLA (PA-C) – Physician Assistant, NPI 1053645333

MARIE J. GALVAN RENELLA (PA-C) is a healthcare provider. based in Suisun city, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA 17125 (CA). The NPI Number for MARIE J. GALVAN RENELLA (PA-C) is 1053645333

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MARIE J. GALVAN RENELLA (PA-C)
NPI
1053645333
Phone
(657) 241-3600
Address
PO BOX 1995
Enumeration Date
19 September 2009
Last Update Date
31 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9494179820
Graduation Year
2003 (23 years ago)
PAC ID
2668430265
Group Practice PAC ID
7810090420
Professional Enrollment ID
I20041229000589
Address ID
CA926048676IR2XXXXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

10,686 PHYSICIAN ASSISTANT in CA

Provider Addresses for MARIE J. GALVAN RENELLA (PA-C)

  • PO BOX 1995

    SUISUN CITY, CA 945854995

    Phone: (657) 241-3600

    Fax: (657) 241-7708

    Type: Mailing

  • 2 OSBORN ST STE 180

    IRVINE, CA 926048676

    Phone: (949) 417-9820

    Fax: (949) 417-9830

    Type: Location

  • Hoag Health Center - Woodbridge, 4870, Barranca Parkway, Woodbridge, Irvine, Orange County, California, 92604, United States

    SUITE 305

    IRVINE, CA 926044709

    Phone: (949) 417-9820

    Fax: (949) 417-9830

    Type: Location

  • 55, Cabrillo Terrace, Glenwood at Aliso Viejo, Aliso Viejo, Orange County, California, 92656, United States

    ALISO VIEJO, CA 926561625

    Phone: (323) 387-2799

    Fax: (949) 305-7450

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-05-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($83).

Total Amount

$83

General + Research + Ownership

Payments

5

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-29

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041229000589IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2523$0
View full utilization report →

Insurance plans in this area (ZIP 94585)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810090420View full group profile
NameSpecialtyState
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Family PracticeCA
-CA
Physician AssistantCA
Family PracticeCA
Family PracticeCA

Reviews

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Frequently asked questions

What identifier follows MARIE J. GALVAN RENELLA (PA-C) across health systems?
The NPI 1053645333 uniquely identifies MARIE J. GALVAN RENELLA (PA-C) in U.S. healthcare data.
Does the public listing show MARIE J. GALVAN RENELLA (PA-C) as active?
MARIE J. GALVAN RENELLA (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does MARIE J. GALVAN RENELLA (PA-C) provide?
MARIE J. GALVAN RENELLA (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARIE J. GALVAN RENELLA (PA-C)?
MARIE J. GALVAN RENELLA (PA-C) is associated with Suisun City, California in the same public data insurers reference.
Who maintains MARIE J. GALVAN RENELLA (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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