Active NPI
Angela Monique Peagler-Hall
- Family Nurse Practitioner
- Newtown Square, PA
National Provider Identifier
1366859522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP013324
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251222002142 | PA | Order and Referring Only - Nurse Practitioner | 5294953410 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN567943 | PA | MD | Registered Nurse |
| LG-0011899 | DE | MD | Family Nurse Practitioner |
| R253128 | MD | MD | Family Nurse Practitioner |
| SP013324 | PA | MD | Family Nurse Practitioner |
| 0024183731 | VA | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.