MRS. RENAE LEA DEGRELLA PA-C
NPI 1386772341
Physician Assistant - Surgical in Tampa, FL

Q: What is Renae Degrella's NPI number?

The NPI number for Renae Degrella is 1386772341. It was assigned to this individual provider in the NPPES registry on March 1, 2007. The provider is also known as Ms. Renae Lea Ward Pa-C.

Q: What is Renae Degrella's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Renae Degrella was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 01, 2007PECOS EnrolledAccepts Medicare Assignment

4301 N HABANA AVE, TAMPA, FL 33607(813) 879-5010(813) 443-8148 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2023, Aug 19, 2022, Dec 19, 2016 and 1 more (4 updates tracked since 2015).

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About Mrs. Renae Lea Degrella Pa-c NPPES

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

MRS. RENAE LEA DEGRELLA PA-C (NPI 1386772341) is an individual surgical provider in Tampa, Florida, licensed in Florida (PA9108819) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1386772341

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. RENAE LEA DEGRELLACredential: PA-C

Location Address4301 N HABANA AVETampa, FL 33607-6546

Mailing Address4301 N Habana AveTampa, FL 33607-6546 · (813) 879-5010 · Fax (813) 443-8148

Phone(813) 879-5010

Fax(813) 443-8148

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 1, 2007

Last NPPES UpdateApril 20, 20234 updates tracked since enumeration

NPPES CertifiedApril 20, 2023

✔ NPI 1386772341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9108819

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9108819 (FL), 001887 (CT)

4301 N HABANA AVE, Tampa, FL 33607

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Other Names 1

Former Name (1)Ms. Renae Lea Ward Pa-c

Other Identifiers 1

Medicaid015437600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed.Insurance ›

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

Mrs. Renae Lea Degrella 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.

PECOS PAC ID1951405927

PECOS Enrollment IDI20151001000030

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

MS. BONNIE SUE MOSS ARNP

Nurse Practitioner