John Dustin Nangle, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102535 Issued in FL

Practice address

2645 N Federal Hwy
Delray Beach, FL 33483-6100

Phone

(561) 742-2004

NPI assigned

May 7, 2008

Sex

Male

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palm Beach Wellness LLCGroup PAC ID 7113294869, 6 clinicians

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: john.nangle.1@17595.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 and National Provider Directory roles.

• Palm Beach Wellness LLC

  • Clinic/Center
  • Delray Beach, FL
  • NPI 1376086082
  Medicare reassignment Care Compare group
• Medical Specialists of the Palm Beaches Inc

  • Internal Medicine Physician
  • Palm Springs, FL
  • NPI 1386687580
  NPD (past)

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

• Bethesda Hospital, Inc.

  • General Acute Care Hospital
  • Boynton Beach, FL
  • NPI 1417952748
  Care Compare affiliation

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1881860963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 N FEDERAL HWY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836100",
            "telephone_number": "561-742-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N FEDERAL HWY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836100",
            "telephone_number": "561-742-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANGLE",
        "first_name": "JOHN",
        "middle_name": "DUSTIN",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.