Anna Deraco, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

300 Willow St
Lebanon, PA 17046-4871

Phone

(717) 356-2222

Fax

(831) 707-2777

NPI assigned

Apr 6, 2007

Last updated

Aug 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anna.deraco.1@7492.direct.athenahealth.com

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

• Family First Health Corporation

  dba Family First Health - George Street Center

  • Federally Qualified Health Center (FQHC)
  • York, PA
  • NPI 1881639904
  Medicare reassignment
• Family First Health Corporation

  • Community/Retail Pharmacy
  • York, PA
  • NPI 1699573758
  NPD
• Family First Health Corporation

  dba Family First Health - Columbia Center

  • Federally Qualified Health Center (FQHC)
  • Columbia, PA
  • NPI 1285188466
  NPD (past)
• Family First Health Corporation

  dba Family First Health Lebanon Center

  • Federally Qualified Health Center (FQHC)
  • Lebanon, PA
  • NPI 1477101822
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1639291867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WILLOW ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170464871",
            "telephone_number": "717-356-2222",
            "fax_number": "855-717-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILLOW ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170464871",
            "telephone_number": "717-356-2222",
            "fax_number": "831-707-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERACO",
        "first_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Delserro, CRNP
• Melissa Joanne Dennis, CRNP
• Department of Veterans Affairs, VA Medical Center, Lebanon PA.
• Elizabeth Kathleen Depew, PHARM D
• Kaitlin L Deppert
• Lielt Kebede Derebew, MD
• Dermatology Associates of Lebanon LTD
• Dermatology Associates of Lebanon, LTD
• Developmental & Disability Services
• Evan Devitry

• Medical Physician Assistant in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.

Verify at the official NPI Registry.