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LABRENE TANGALOS PA-C
NPI 1851924807
Physician Assistant in Shelby Township, MI

Active since February 18, 2020PECOS Enrolled
51850 DEQUINDRE RD, SHELBY TOWNSHIP, MI 48316(586) 799-4082 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 13, 2020, Feb 18, 2020 (2 updates tracked since 2020).

About Labrene Tangalos Pa-c NPPES

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

LABRENE TANGALOS PA-C (NPI 1851924807) is an individual physician assistant in Shelby Township, Michigan, licensed in Michigan (5601009850) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Berkley.

NPPES Registry Identity

NPI1851924807
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLABRENE TANGALOSCredential: PA-C
Location Address51850 DEQUINDRE RDShelby Township, MI 48316-2806
Mailing Address51850 Dequindre RdShelby Twp, MI 48316-2806 · (586) 799-4082
Phone(586) 799-4082
Sole ProprietorNo
Enumeration DateFebruary 18, 2020
Last NPPES UpdateMay 13, 20202 updates tracked since enumeration
NPPES CertifiedMay 13, 2020
✔ NPI 1851924807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601009850
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
51850 DEQUINDRE RD, Shelby Township, MI 48316
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Secondary Practice Location 1

Location 1929 Cambridge RdBerkley, MI 48072-1933 · Phone (586) 255-8868

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Labrene Tangalos 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48316 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 2

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

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims372 services$38.90 avg. paid by Medicare
Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340
DME-Drugs Administered Through DME · category DG000N
1 supplier12 claims336 services$167.74 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 7

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

SHELBY URGENT CARE PC
Clinic/Center (Urgent Care)
51850 DEQUINDRE RD, SUITE 1
SHELBY TWP, MI 48316
Macomb County (586) 799-4082
SHELBY URGENT CARE PC
Clinic/Center (Urgent Care)
51850 DEQUINDRE RD, SUITE 1
SHELBY TWP, MI 48316
Macomb County (586) 799-4082
REBECCA A MANRING PT
Physical Therapist
51850 DEQUINDRE RD, STE 1
SHELBY TWP, MI 48316
Macomb County (586) 991-0801
DR. EDWARD RUIZ MD
Dermatology
51850 DEQUINDRE RD, SUITE 5
SHELBY TOWNSHIP, MI 48316
Macomb County (248) 651-1010
EDWARD RUIZ, M.D., P.C.
Dermatology
51850 DEQUINDRE RD, SUITE 5
SHELBY TOWNSHIP, MI 48316
Macomb County (248) 651-1010
JENNIFER L FINOS PA
Physician Assistant
51850 DEQUINDRE RD
SHELBY TWP, MI 48316
Macomb County (586) 799-4082
ROSEMARY KENNEDY WISNIEWSKI OTR
Occupational Therapist
51850 DEQUINDRE RD, SUITE 1
SHELBY TOWNSHIP, MI 48316
Macomb County (586) 991-0801

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 Labrene Tangalos's NPI number?

The NPI number for Labrene Tangalos is 1851924807. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Where is Labrene Tangalos located?

Labrene Tangalos practices at 51850 Dequindre Rd, Shelby Township, MI 48316. The listed phone number is (586) 799-4082.

What is Labrene Tangalos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Labrene Tangalos enrolled in Medicare?

Yes. Labrene Tangalos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Labrene Tangalos was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.