MR. VANCAS DEANGELO WILLIAMS (PA) – Physician Assistant, NPI 1952062200

MR. VANCAS DEANGELO WILLIAMS (PA) is a healthcare provider. based in Marion, Virginia. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 0010-12796 (NC). The NPI Number for MR. VANCAS DEANGELO WILLIAMS (PA) is 1952062200

Main info

Male
Name
MR. VANCAS DEANGELO WILLIAMS (PA)
NPI
1952062200
Phone
(951) 261-4884
Address
590 RADIO HILL RD UNIT G
Enumeration Date
7 January 2022
Last Update Date
25 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

Provider Addresses for MR. VANCAS DEANGELO WILLIAMS (PA)

  • 590 RADIO HILL RD UNIT G

    MARION, VA 243544465

    Phone: (951) 261-4884

    Type: Mailing

  • 601 RADIO HILL RD

    MARION, VA 243544219

    Phone: (276) 781-2090

    Type: Location

  • 1601 BRENNER AVE

    SALISBURY, NC 281442515

    Phone: (951) 261-4884

    Type: Mailing

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: 2023-03-29

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
I20230329002501IPhysician AssistantNCTBD

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

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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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 24354)

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Reviews

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Frequently asked questions

What is MR. VANCAS DEANGELO WILLIAMS (PA)'s NPI number?
MR. VANCAS DEANGELO WILLIAMS (PA)'s NPI is 1952062200 — the number used across U.S. healthcare to identify this provider.
Is MR. VANCAS DEANGELO WILLIAMS (PA) still an active registrant?
MR. VANCAS DEANGELO WILLIAMS (PA) carries an active NPI according to the public dataset.
What area of care is associated with MR. VANCAS DEANGELO WILLIAMS (PA)?
MR. VANCAS DEANGELO WILLIAMS (PA)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. VANCAS DEANGELO WILLIAMS (PA)?
Directory geography for MR. VANCAS DEANGELO WILLIAMS (PA) centers on Marion, Virginia.
When was this NPI issued?
Enumeration for MR. VANCAS DEANGELO WILLIAMS (PA) is noted as January 7, 2022 where the registry provides it.

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