BUCKTAIL MEDICAL CENTER
NPI 1821083700
General Acute Care Hospital - Critical Access in Renovo, PA

Active since September 15, 2005
1001 PINE ST, RENOVO, PA 17764(570) 923-1000(570) 923-1812 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, Mar 17, 2023, Apr 1, 2021 and 1 more (4 updates tracked since 2016).

About Bucktail Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCKTAIL MEDICAL CENTER (NPI 1821083700) is a healthcare organization registered as a critical access in Renovo, Pennsylvania and active in the NPI registry since September 2005. The organization lists Laura Murnyack, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821083700
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameBUCKTAIL MEDICAL CENTER
Location Address1001 PINE STRenovo, PA 17764-1618
Mailing Address1001 Pine StRenovo, PA 17764-1618 · (570) 923-1000 · Fax (570) 923-1812
Fax(570) 923-1812
Organization SubpartNo
Authorized OfficialLaura MurnyackCeo · (570) 531-6299
Enumeration DateSeptember 15, 2005
Last NPPES UpdateAugust 7, 20264 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1821083700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code282NC0060X
License✔ Licensed in PA · 549601
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Critical Access HospitalTaxonomy 261QC0050X
1001 PINE ST, Renovo, PA 17764

Other Identifiers 4

Medicaid1007644390002PA
Medicaid1007644390003PA
Medicaid1007644390007PA
Medicaid1007644390004PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bucktail Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20041208000866Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Bucktail Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Diagnostic Radiology12
Emergency Medicine5
Family Practice3
Nurse Practitioner1

Nearest to this location (20)

See all 21
Emergency Medicine
NPI 1689944951
1001 PINE ST
Renovo, PA 17764
(570) 531-6130
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1881665958
1001 PINE ST
Renovo, PA 17764
(570) 923-1000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1598791741
1 OUTLET LN SUITE 400
Lock Haven, PA 17745
(570) 769-1300
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1770313462
155 WELLNESS WAY
State College, PA 16803
(814) 231-7000
✔ PECOS✔ Accepts Medicare37 mi
Emergency Medicine
NPI 1578576484
700 E NORWEGIAN ST
Pottsville, PA 17901
(570) 621-4090
✔ PECOS✔ Accepts Medicare92 mi
Emergency Medicine
NPI 1619097078
600 SOMERSET AVE
Windber, PA 15963
(814) 467-3194
✔ PECOS✔ Accepts Medicare95 mi
Emergency Medicine
NPI 1548246713
100 LINCOLN AVE
Carbondale, PA 18407
(570) 281-1004
✔ PECOS✔ Accepts Medicare118 mi
Emergency Medicine
NPI 1386686376
7434 SONG LAKE RD
Tully, NY 13159
(315) 569-6329
✔ PECOS✔ Accepts Medicare129 mi
Family Practice
NPI 1528319639
1791 AIRPORT RD
Allentown, PA 18109
(610) 264-5844
✔ PECOS✔ Accepts Medicare129 mi
Diagnostic Radiology
NPI 1578563540
41 ROBERTS RD
Newtown Square, PA 19073
(610) 306-0453
✔ PECOS✔ Accepts Medicare153 mi
Diagnostic Radiology
NPI 1306831326
2301 S BROAD ST SUITE 205A
Philadelphia, PA 19148
(215) 952-9153
✔ PECOS✔ Accepts Medicare166 mi
Diagnostic Radiology
NPI 1386649267
501 BATH RD
Bristol, PA 19007
(215) 785-9070
✔ PECOS✔ Accepts Medicare173 mi
Diagnostic Radiology
NPI 1821198482
301 E MAIN ST
Bay Shore, NY 11706
(631) 968-3154
✔ PECOS✔ Accepts Medicare239 mi
Diagnostic Radiology
NPI 1558352948
137 LITTLE INDIAN LOOP
Mooresville, NC 28117
(877) 905-1724
✔ PECOS✔ Accepts Medicare429 mi
Diagnostic Radiology
NPI 1780619155
2320 E 93RD ST
Chicago, IL 60617
(773) 967-2000
✔ PECOS✔ Accepts Medicare510 mi
Diagnostic Radiology
NPI 1194705558
MADIGAN ARMY MEDICAL CTR MCHJ-CLR, DEPARTMENT OF RADIOLOGY
Tacoma, WA 98431
(253) 968-2130
✔ PECOS✔ Accepts Medicare2,229 mi
Diagnostic Radiology
NPI 1447691266
9040 JACKSON AVE
Tacoma, WA 98431
(770) 289-8520
✔ PECOS✔ Accepts Medicare2,229 mi
Diagnostic Radiology
NPI 1366612301
9040 JACKSON AVE
Tacoma, WA 98431
(253) 968-2130
✔ PECOS✔ Accepts Medicare2,229 mi
Diagnostic Radiology
NPI 1114969102
3751 KATELLA AVE
Los Alamitos, CA 90720
(949) 263-8620
✔ PECOS✔ Accepts Medicare2,253 mi
Diagnostic Radiology
NPI 1568472389
2428 SANTA MONICA BLVD SUITE LL
Santa Monica, CA 90404
(310) 315-1000
✔ PECOS✔ Accepts Medicare2,267 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Bucktail Medical Center (CMS certification number 391304), from CMS Care Compare.

Bucktail Medical Center

Critical Access Hospitals · Renovo, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391304
Location1001 Pine StreetRenovo, PA 17764 · Clinton County · (570) 923-1000
Emergency services

Complications & Deaths 2

Death rate for COPD patients
Cases too small to report
Death rate for heart failure patients
Cases too small to report

Unplanned Hospital Visits 4

Heart failure (HF) 30-Day Readmission Rate
Cases too small to report
Rate of readmission after discharge from hospital (hospital-wide)
Cases too small to report
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients
Cases too small to report
Hospital return days for heart failure patients
Cases too small to report

Timely & Effective Care 2

Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
87 minutes
Healthcare workers given influenza vaccination
61%

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bucktail Medical Center's NPI number?

The NPI number for Bucktail Medical Center is 1821083700. It was assigned to this organization in the NPPES registry on September 15, 2005.

Where is Bucktail Medical Center located?

Bucktail Medical Center is located at 1001 Pine St, Renovo, PA 17764. The listed phone number is (570) 923-1000.

What is Bucktail Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Bucktail Medical Center enrolled in Medicare?

Yes. Bucktail Medical Center is registered in the Medicare PECOS enrollment system.

When is Bucktail Medical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bucktail Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 4 Medicare specialties reassign their Medicare billing to Bucktail Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (12), Emergency Medicine (5) and Family Practice (3). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Bucktail Medical Center a Medicare-certified hospital?

Yes. Bucktail Medical Center is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.

What insurance does Bucktail Medical Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and WellSense Health Plan list Bucktail Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bucktail Medical Center was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.