DRUE DEANGELO PA-C
NPI 1366030363
Physician Assistant - Medical in Palm Coast, FL
About Drue Deangelo Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DRUE DEANGELO PA-C (NPI 1366030363) is an individual medical provider in Palm Coast, Florida, licensed in Florida (PA9116579) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Drue Deangelo Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Cross Hospital
Acute Care Hospitals · Fort Lauderdale, FLBoca Raton Regional Hospital
Acute Care Hospitals · Boca Raton, FLOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALM COAST, FL 32164
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 Drue Deangelo's NPI number?
The NPI number for Drue Deangelo is 1366030363. It was assigned to this individual provider in the NPPES registry on January 5, 2021.
Where is Drue Deangelo located?
Drue Deangelo practices at 120 Cypress Edge Dr Ste 202, Palm Coast, FL 32164. The listed phone number is (386) 586-4280.
What is Drue Deangelo's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Drue Deangelo enrolled in Medicare?
Yes. Drue Deangelo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Drue Deangelo affiliated with any hospitals?
According to CMS data, Drue Deangelo is affiliated with Holy Cross Hospital and Boca Raton Regional Hospital.
When was this NPI record last updated?
The NPPES record for Drue Deangelo was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Drue Deangelo, PA-C · NPI 1366030363
Medical physician in Palm Coast, Florida. Individual provider, active in the CMS NPPES registry since January 5, 2021.
## Identity
- **NPI:** 1366030363 (Entity type: Individual)
- **Enumerated:** January 5, 2021
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA9116579 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 120 CYPRESS EDGE DR STE 202, Palm Coast, FL 32164-8454
- **Phone:** (386) 586-4280
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366030363) · Data from the CMS NPPES public registry.