Individual provider

Angie Degennaro

Family Nurse Practitioner Medicare enrolled

Angie Degennaro is a Family Nurse Practitioner in Riverside, CA, registered under NPI 1215562897.

Getting there

The practice address on file is 7117 BROCKTON AVE, Riverside, CA 92506. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

7117 BROCKTON AVE, Riverside, CA 92506 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
95017898 CA Family Nurse Practitioner primary

This provider holds licence 95017898 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
3274076104
Enrollment ID
I20240620002420

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1215562897 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 4, 2020
Last updatedApr 11, 2025
StatusActive
Sole proprietorNo
Practice address 7117 BROCKTON AVE
Riverside, CA 92506
(951) 782-3690
Fax (951) 784-3257
This record was updated on Apr 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1215562897 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 1 5 5 6 2 8 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 2 5 1 6 4 8 9

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1215562897?
NPI 1215562897 is the National Provider Identifier assigned to Angie Degennaro in Riverside, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Angie Degennaro?
The phone number on file with NPPES is (951) 782-3690, last updated Apr 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Angie Degennaro accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1215562897 a valid number?
Yes. 1215562897 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.