DRUE DEANGELO PA-C
NPI 1366030363
Physician Assistant - Medical in Boca Raton, FL

Active since January 05, 2021PECOS Enrolled
9325 GLADES RD STE 208, BOCA RATON, FL 33434(561) 898-0020 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Jan 5, 2021 (2 updates tracked since 2021).

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 Boca Raton, Florida, licensed in Florida (PA9116579) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Davie.

NPPES Registry Identity

NPI1366030363
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDRUE DEANGELOCredential: PA-C
Location Address9325 GLADES RD STE 208Boca Raton, FL 33434-3988
Mailing Address9325 Glades Rd Ste 208Boca Raton, FL 33434-3988 · (561) 898-0020
Sole ProprietorYes
Enumeration DateJanuary 5, 2021
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
NPI 1366030363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9116579
9325 GLADES RD STE 208, Boca Raton, FL 33434

Secondary Practice Location 1

Location 13200 S University DrDavie, FL 33328-2018 · Phone (954) 262-1250

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Drue Deangelo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Cognitive & Behavioral)
9325 GLADES RD STE 208
BOCA RATON, FL 33434
Counselor (Mental Health)
9325 GLADES RD STE 208
BOCA RATON, FL 33434
Physician Assistant
9325 GLADES RD STE 208
BOCA RATON, FL 33434
Psychologist (Cognitive & Behavioral)
9325 GLADES RD STE 208
BOCA RATON, FL 33434

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 9325 Glades Rd Ste 208, Boca Raton, FL 33434. The listed phone number is (561) 898-0020.

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Drue Deangelo was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.