DEANDRA RANGEL – Social Worker, NPI 1003219593

DEANDRA RANGEL is a healthcare provider. based in Quincy, Illinois. specializing in CLINICAL SOCIAL WORKER. The NPI Number for DEANDRA RANGEL is 1003219593

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DEANDRA RANGEL
NPI
1003219593
Phone
(217) 592-0338
Address
205 S 24th St
Enumeration Date
29 September 2014
Last Update Date
23 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172249484
Graduation Year
2014 (12 years ago)
PAC ID
9739435835
Group Practice PAC ID
4486667888
Professional Enrollment ID
I20180703000860
Address ID
IL623012662QU612XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for DEANDRA RANGEL

  • 205 S 24th St

    Quincy, IL 623014446

    Phone: (217) 592-0338

    Type: Location

  • 205 S 24TH ST

    QUINCY, IL 623014446

    Phone: (217) 592-0338

    Type: Mailing

  • 612 N 11TH ST

    QUINCY, IL 623012662

    Phone: (217) 224-9484

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180703000860IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486667888View full group profile
NameSpecialtyState
Physician AssistantIL
Clinical Social WorkerIL
Nurse PractitionerIL
-IL
Internal MedicineOK
Family PracticeIL
Family PracticeIL
Internal MedicineIL
Nurse PractitionerIL
-IL

Reviews

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Frequently asked questions

What NPI should I save for DEANDRA RANGEL?
Save NPI 1003219593 if you need a stable reference for DEANDRA RANGEL.
Is DEANDRA RANGEL's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DEANDRA RANGEL's specialty in plain language?
Clinically, the directory lists DEANDRA RANGEL with Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place DEANDRA RANGEL?
The snapshot lists Quincy, Illinois for DEANDRA RANGEL; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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