Individual provider Active NPI

Nancy Deangelis, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Abington, PA
National Provider Identifier
1013469238
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP016682 Issued in PA
Practice address
1245 Highland Ave
Suite #308
Abington, PA 19001-3714
Phone
(215) 481-5450
Fax
(215) 481-5435
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP016682 PA Primary

Addresses

Primary practice location

1245 Highland Ave
Suite #308
Abington, PA 19001-3714

Mailing address

2500 Maryland Rd
Suite #400
Willow Grove, PA 19090-1216
Phone (215) 481-3064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170302000701 PA Practitioner - Nurse Practitioner 4082998448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1200 Old York Rd
Abington, PA 19001-3720

2500 Maryland Rd
Suite 400
Willow Grove, PA 19090-1225

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP016682PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Sep 16, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 19, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Current Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Sep 16, 2024 Accepting new patients
Psychological Healthcare, PLLC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

156 S Bethlehem Pike
Ambler, PA 19002
Phone (215) 767-7096

1777 Sentry Pkwy W
Ste 300
Blue Bell, PA 19422
Phone (215) 767-7096

1777 Sentry Pkwy W
Blue Bell, PA 19422
Phone (215) 767-7096

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

7 Neshaminy Interplex Dr
Trevose, PA 19053

Interoperability endpoints

  • Direct secure messaging: nancy.deangelis.1@28623.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1013469238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD",
            "address_2": "SUITE #400",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901216",
            "telephone_number": "215-481-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 HIGHLAND AVE",
            "address_2": "SUITE #308",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013714",
            "telephone_number": "215-481-5450",
            "fax_number": "215-481-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "NANCY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP016682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.