Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Reena Eza Banayat Calizo

Individual provider Nurse Practitioner · NPI 1134986953

Reena Eza Banayat Calizo is a Nurse Practitioner in Wilkes Barre, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Star Community Health Inc, a 58-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
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Practice location Address checks out

84 W South St
Wilkes Barre, PA 18766-0997
Phone: (570) 408-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F02241038 (PA)

Record details

NPI number1134986953
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2024
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Star Community Health Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wilkes Barre