Michele A. Mysnyk-Deangelo, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9101678 Issued in FL

Practice address

5808 S Jog Rd
Lake Worth, FL 33467-6511

Phone

(561) 968-7546

Fax

(561) 968-1143

NPI assigned

Jan 9, 2007

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 FL

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

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.

• Dermatology Center of the Palm Beaches PA

  • Dermatology Physician
  • Lake Worth, FL
  • NPI 1497359426
  Medicare reassignment
• The Derm Group LLP

  • Dermatology Physician
  • Coral Gables, FL
  • NPI 1801448519
  Medicare reassignment
• Dermatology Consultants of S FL PA

  • Dermatology Physician
  • Coral Springs, FL
  • NPI 1629186523
  NPD (past)
• Whole-Health, LLC

  • Family Medicine Physician
  • Delray Beach, FL
  • NPI 1356536098
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1861541096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 S JOG RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676511",
            "telephone_number": "561-968-7546",
            "fax_number": "561-968-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 S JOG RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676511",
            "telephone_number": "561-968-7546",
            "fax_number": "561-968-1143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Federal Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334417000",
            "country_code": "US",
            "telephone_number": "954-943-9670",
            "fax_number": "954-943-9671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 W Boynton Beach Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334263625",
            "country_code": "US",
            "telephone_number": "561-968-7546",
            "fax_number": "561-968-1143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYSNYK-DEANGELO",
        "first_name": "MICHELE",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9101678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerda Anna Muyen, LCSW
• MX Medical Group
• Mycare Home Health Palm Beach, Inc
• Myeyedr Optometry of Florida, LLC (MyEyeDr.)
• Amanda Myrick
• Nantech Medical Inc
• Claudia Linet Napoles, RBT
• Nathanson Chiropractic PA
• National Alliance on Mental Illness of Palm Beach
• National Medical Care, Inc (RCC of Wellington)

• Surgical Physician Assistant in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.