Individual provider Active NPI

Angela Monique Peagler-Hall

  • Family Nurse Practitioner
  • Newtown Square, PA
National Provider Identifier
1366859522
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013324 Issued in PA
Practice address
13 Saint Albans Cir Ste C
Newtown Square, PA 19073-3619
Phone
(484) 422-8647
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013324 PA Primary
Family Nurse Practitioner 363LF0000X LG-0011899 DE
Family Nurse Practitioner 363LF0000X R253128 MD
Registered Nurse 163W00000X RN567943 PA
Family Nurse Practitioner 363LF0000X 0024183731 VA

Addresses

Primary practice location

13 Saint Albans Cir Ste C
Newtown Square, PA 19073-3619

Mailing address

5729 Beaumont Ave
Philadelphia, PA 19143-5204

Other names 1

  • Angela Monique Peagler Former name

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
I20251222002142 PA Order and Referring Only - Nurse Practitioner 5294953410

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN567943PAMDRegistered Nurse
LG-0011899DEMDFamily Nurse Practitioner
R253128MDMDFamily Nurse Practitioner
SP013324PAMDFamily Nurse Practitioner
0024183731VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1366859522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 BEAUMONT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SAINT ALBANS CIR STE C",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733619",
            "telephone_number": "484-422-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAGLER-HALL",
        "first_name": "ANGELA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013324",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011899",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R253128",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN567943",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PEAGLER",
            "middle_name": "MONIQUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.