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

Mrs. Renae Lea Degrella, PA-C

Individual provider Physician Assistant · NPI 1386772341

Mrs. Renae Lea Degrella, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2006, 20 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group and accepts Medicare assignment. Licensed in Connecticut and Florida.

Years since qualifying
20
Licensed in
CT, FL
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4301 N Habana Ave
Tampa, FL 33607-6546
Phone: (813) 879-5010
Fax: (813) 443-8148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9108819 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9108819 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 001887 (CT)

Record details

NPI number1386772341
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 1, 2007
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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