Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maurissa Donangelo, PA-C, PHD

Individual provider Physician Assistant · NPI 1508355538

Maurissa Donangelo, PA-C, PHD is a Physician Assistant in Twin Falls, Idaho. Qualified in 2018, 8 years ago. Practices with Innovative Family Medicine of Idaho PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

526 Shoup Ave W Ste E
Twin Falls, ID 83301-5050
Phone: (208) 736-3362
Fax: (208) 736-3382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1970 (ID)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1508355538
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , PHD
Sole proprietorNo
NPI enumeratedMay 4, 2018
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Innovative Family Medicine Of Idaho Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Twin Falls