Individual provider Active NPI

Rachelle D'Angelo, APRN

  • Family Nurse Practitioner
  • North Haven, CT
National Provider Identifier
1386095768
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021133 Issued in CA
Practice address
163 Universal Dr N
North Haven, CT 06473-3152
Phone
(203) 874-3682
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95021133 CA Primary

Addresses

Primary practice location

163 Universal Dr N
North Haven, CT 06473-3152

Mailing address

828 Healthy Way Ste 220
Virginia Beach, VA 23462-7960
Phone (573) 051-7977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160810001194 CT Practitioner - Nurse Practitioner 6103110333 Reassigns benefits to 1 organization
I20220920001760 CA Practitioner - Nurse Practitioner 6103110333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marshall Medical CenterGroup PAC ID 7517875859, 168 clinicians

Practice addresses (Care Compare)

1095 Marshall Way
Placerville, CA 95667-5722

3581 Palmer Dr
Cameron Park, CA 95682-8238
Phone (530) 672-7000

4201 Town Ctr Blvd
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378

Hospital & facility affiliations

  • Alpine Home Health Services LLC Home health agency, Sacramento, CA, CCN 757938
  • Marshall Home Care Home health agency, Diamond Springs, CA, CCN 057019
  • Snowline Health Hospice, Diamond Springs, CA, CCN 051567
  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254
  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6563CTMDPharmacist
95021133CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Center LLP CurrentSince Jul 1, 2016 Accepting new patients
Marshall Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Marshall Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC PastSince Jan 3, 2017 Accepting new patients
Marshall Medical Center Past Accepting new patients
Marshall Medical Center Past Accepting new patients

Locations

3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920

1095 Marshall Way
Ste 100
Placerville, CA 95667
Phone (530) 344-5470

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

1095 Marshall Way
#100
Placerville, CA 95667
Phone (530) 626-2920

163 Universal Dr N
North Haven, CT 06473
Phone (203) 466-8060

109 Boston Post Rd
Orange, CT 06477
Phone (203) 298-4600

279 Chase Ave
Waterbury, CT 06704
Phone (203) 573-8577

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1386095768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 HEALTHY WAY STE 220",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627960",
            "telephone_number": "573-051-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 UNIVERSAL DR N",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733152",
            "telephone_number": "203-874-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "RACHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2022-09-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.