ANNA DERACO PA-C
NPI 1639291867
Physician Assistant - Medical in Lebanon, PA

Active since April 06, 2007PECOS Enrolled
300 WILLOW ST, LEBANON, PA 17046(717) 356-2222(831) 707-2777 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2025, Apr 20, 2021, Apr 1, 2020 (3 updates tracked since 2020).

About Anna Deraco Pa-c NPPES

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

ANNA DERACO PA-C (NPI 1639291867) is an individual medical provider in Lebanon, Pennsylvania and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639291867
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANNA DERACOCredential: PA-C
Location Address300 WILLOW STLebanon, PA 17046-4871
Mailing Address300 Willow StLebanon, PA 17046-4871 · (717) 356-2222 · Fax (855) 717-5644
Fax(831) 707-2777
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
NPI 1639291867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
300 WILLOW ST, Lebanon, PA 17046

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anna Deraco 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 12

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

Obstetrics & Gynecology (Obstetrics)
300 WILLOW ST
LEBANON, PA 17046
Nurse Practitioner (Women's Health)
300 WILLOW ST
LEBANON, PA 17046
Nurse Practitioner (Family)
300 WILLOW ST
LEBANON, PA 17046
Obstetrics & Gynecology (Gynecology)
300 WILLOW ST
LEBANON, PA 17046
Obstetrics & Gynecology
300 WILLOW ST
LEBANON, PA 17046
Obstetrics & Gynecology (Obstetrics)
300 WILLOW ST
LEBANON, PA 17046
Obstetrics & Gynecology (Gynecology)
300 WILLOW ST
LEBANON, PA 17046
Obstetrics & Gynecology (Obstetrics)
300 WILLOW ST
LEBANON, PA 17046

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 Anna Deraco's NPI number?

The NPI number for Anna Deraco is 1639291867. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Anna Deraco located?

Anna Deraco practices at 300 Willow St, Lebanon, PA 17046. The listed phone number is (717) 356-2222.

What is Anna Deraco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Anna Deraco enrolled in Medicare?

Yes. Anna Deraco is registered in the Medicare PECOS enrollment system.

What insurance does Anna Deraco accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Anna Deraco 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 Anna Deraco was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.