Christine Elizabeth Deangelo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601008246 Issued in MI

Practice address

502 W Harrie St
Newberry, MI 49868-1209

Phone

(906) 293-9233

Fax

(906) 293-9285

NPI assigned

Nov 16, 2017

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 MI

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

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.

• Henry Ford Health System

  • Physician Assistant
  • Detroit, MI
  • NPI 1811073901
  Medicare reassignment NPD
• Deckerville Community Hospital Inc

  • Critical Access Hospital
  • Deckerville, MI
  • NPI 1619095718
  Medicare reassignment
• Helen Newberry Joy Hospital & Healthcare Center

  • Rural Health Clinic/Center
  • Curtis, MI
  • NPI 1972650935
  Medicare reassignment
• Hills & Dales General Hospital, Inc.

  • Critical Access Hospital
  • Cass City, MI
  • NPI 1154367001
  Medicare reassignment
• Marlette Regional Hospital

  • Critical Access Hospital
  • Marlette, MI
  • NPI 1346325214
  Medicare reassignment
• Deckerville Community Hospital, Inc

  • Clinic/Center
  • Port Sanilac, MI
  • NPI 1013799469
  NPD
• Deckerville Community Hospital, Inc.

  • Family Medicine Physician
  • Deckerville, MI
  • NPI 1164818977
  NPD
• Helen Newberry Joy Hospital & Healthcare Center

  • Rural Health Clinic/Center
  • Engadine, MI
  • NPI 1033266002
  NPD
• Helen Newberry Joy Hospital & Healthcare Center

  • Nursing Facility/Intermediate Care Facility
  • Newberry, MI
  • NPI 1164545323
  NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• Hills & Dales General Hospital, Inc.

  • General Practice Physician
  • Sandusky, MI
  • NPI 1306720529
  NPD
• Hills & Dales General Hospital, Inc.

  • Psychiatry Physician
  • Cass City, MI
  • NPI 1952120859
  NPD

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642896000000",
    "number": "1770096455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W HARRIE ST",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498681209",
            "telephone_number": "906-293-9233",
            "fax_number": "906-293-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W HARRIE ST",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498681209",
            "telephone_number": "906-293-9233",
            "fax_number": "906-293-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELO",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brook Lynn Dake, FNP-C
• Derek James Dake, OD
• Dale W Muth OD PLLC
• Dale W Muth OD PLLC
• Denise Magdalene Danaher, WHNP
• Derek J Dake OD PC
• Kaylee Michele Derusha, RDH
• Nichole Drouin
• Sarah Edwards, CBD
• Eric S Laroue DDS PC

• Physician Assistant in Newberry, MI
• Providers in Newberry, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; 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.