ANGELA S DECLUE FNP
NPI 1659343903
Nurse Practitioner - Family in Potosi, MO

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
200 HEALTH WAY DR, POTOSI, MO 63664(573) 438-2977(573) 438-2874 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Angela S Declue Fnp NPPES

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

ANGELA S DECLUE FNP (NPI 1659343903) is an individual family provider in Potosi, Missouri, licensed in Missouri (132460) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is affiliated with Washington County Memorial Hospital.

NPPES Registry Identity

NPI1659343903
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA S DECLUECredential: FNP
Location Address200 HEALTH WAY DRPotosi, MO 63664-1434
Mailing Address200 Health Way DrPotosi, MO 63664-1434 · (573) 438-2977 · Fax (573) 438-2874
Fax(573) 438-2874
Sole ProprietorNo
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJune 17, 2014
NPI 1659343903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 132460
200 HEALTH WAY DR, Potosi, MO 63664

Other Names 1

Former Name (1)Angela S Huck

Other Identifiers 2

Medicaid428971402MO
Medicare ID-Type Unspecified818952288MO · Missouri Medicare

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 and accepts Medicare assignment

Angela S Declue Fnp 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 ID7618969247
PECOS Enrollment IDI20040401001374
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.

Hospital Affiliations CMS Care Compare

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

Washington County Memorial Hospital

Critical Access Hospitals · Potosi, MO
OwnershipGovernment - Local
CMS Certification Number261308
Location300 Health WayPotosi, MO 63664 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63664 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers18 claims34 services$6.00 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims68 services$1.78 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims12 services$44.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$52.98 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Dentist (General Practice)
200 HEALTH WAY DR, SUITE 1
POTOSI, MO 63664
Family Medicine
200 HEALTH WAY DR
POTOSI, MO 63664
Nurse Practitioner
200 HEALTH WAY DR
POTOSI, MO 63664
Clinic/Center (Multi-Specialty)
200 HEALTH WAY DR
POTOSI, MO 63664
Clinic/Center (Rural Health)
200 HEALTH WAY DR
POTOSI, MO 63664
Clinic/Center (Rural Health)
200 HEALTH WAY DR
POTOSI, MO 63664
Nurse Practitioner (Family)
200 HEALTH WAY DR
POTOSI, MO 63664
Psychiatry & Neurology (Psychiatry)
200 HEALTH WAY DR
POTOSI, MO 63664

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659343903, enumerated as an "individual" on February 02, 2006.

The provider is located at 200 HEALTH WAY DR POTOSI, MO 63664 and the phone number is (573) 438-2977.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Angela Declue is affiliated with: WASHINGTON COUNTY MEMORIAL HOSPITAL.