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DEREK NEILL
NPI 1043051402
Nurse Practitioner - Family in Fort Worth, TX

Active since June 01, 2024PECOS EnrolledAccepts Medicare Assignment
4545 HERITAGE TRACE PKWY STE 1500, FORT WORTH, TX 76244(682) 593-1231(346) 202-0113 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2024, Jul 18, 2024, Jun 10, 2024 and 1 more (4 updates tracked since 2024).

About Derek Neill NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK NEILL (NPI 1043051402) is an individual family provider in Fort Worth, Texas, licensed in Texas (1164919) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043051402
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDEREK NEILL
Location Address4545 HERITAGE TRACE PKWY STE 1500Fort Worth, TX 76244-8938
Mailing Address8120 Ruse Springs LnFort Worth, TX 76131-5443 · (817) 907-7466
Phone(682) 593-1231
Fax(346) 202-0113
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 1, 2024
Last NPPES UpdateAugust 13, 20244 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1043051402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1164919
4545 HERITAGE TRACE PKWY STE 1500, Fort Worth, TX 76244
Open in Google Maps ↗

Secondary Practice Locations 5

Location 17230 Crawford RdArgyle, TX 76226-2677 · Phone (682) 683-2301
Location 21720 Fm 544 Ste 100Lewisville, TX 75056-4592 · Phone (682) 683-2301
Location 34150 N Collins StArlington, TX 76005-4547 · Phone (682) 683-2301
Location 49990 Dallas Pkwy Ste 125Frisco, TX 75033-4137 · Phone (682) 683-2301
Location 53101 Churchill Dr Ste 100Flower Mound, TX 75022-2717 · Phone (682) 683-2301

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek Neill is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002352903
PECOS Enrollment IDI20240729000054
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Derek Neill reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rrr Hyperbarics 3 LLC
Same address
Undersea and Hyperbaric Medicine
4545 HERITAGE TRACE PKWY STE 1500
Fort Worth, TX 76244
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1871041913 (210) 582-5304
Superior Healthcare Services LLC
4.7 mi
Family Medicine
512 W BONDS RANCH RD STE 150
Fort Worth, TX 76131
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
NPI 1689262941 (817) 488-6369
Rrr Hyperbarics 5, LLC
13 mi
Undersea and Hyperbaric Medicine
4150 N. COLLINS STREET
Arlington, TX 76005
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1659887248 (817) 337-6604
Rrr Hyperbarics 1
15 mi
Undersea and Hyperbaric Medicine
3101 CHURCHILL DR STE 100
Flower Mound, TX 75022
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group
NPI 1407278286 (817) 337-6604
Rrr Hyperbarics 4, LLC
23 mi
Undersea and Hyperbaric Medicine
1720 FM 544
Lewisville, TX 75056
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
NPI 1205367455 (817) 337-6604
Christine Holland MD PA
27 mi
Family Medicine
800 MEDICAL CENTER DR STE C
Decatur, TX 76234
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Christine Holland, M.D., P. A.
  • 59 clinicians in this Medicare group
NPI 1962677740 (940) 626-2110
Rrr Hyperbarics 8, LLC
31 mi
Undersea and Hyperbaric Medicine
9990 DALLAS PKWY STE 125
Frisco, TX 75033
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1720739048 (817) 337-6604

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
45 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA MOCCIA PA
Physician Assistant (Surgical)
4545 HERITAGE TRACE PKWY STE 1500
FORT WORTH, TX 76244
Tarrant County (682) 683-2301
KAROLYN RYAN PA-C
Physician Assistant
4545 HERITAGE TRACE PKWY STE 1500
FORT WORTH, TX 76244
Tarrant County (817) 337-6604
RRR HYPERBARICS 3 LLC
Preventive Medicine (Undersea and Hyperbaric Medicine)
4545 HERITAGE TRACE PKWY STE 1500
FORT WORTH, TX 76244
Tarrant County (210) 582-5304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Neill's NPI number?

The NPI number for Derek Neill is 1043051402. It was assigned to this individual provider in the NPPES registry on June 1, 2024.

Where is Derek Neill located?

Derek Neill practices at 4545 Heritage Trace Pkwy Ste 1500, Fort Worth, TX 76244. The listed phone number is (682) 593-1231.

What is Derek Neill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Derek Neill enrolled in Medicare?

Yes. Derek Neill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Derek Neill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Neill reassigns Medicare benefits to 7 organizations: Rrr Hyperbarics 3 LLC (Fort Worth, TX), Superior Healthcare Services LLC (Fort Worth, TX), Rrr Hyperbarics 5, LLC (Arlington, TX), Rrr Hyperbarics 1 (Flower Mound, TX), Rrr Hyperbarics 4, LLC (Lewisville, TX) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Neill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Neill accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Derek Neill as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Neill was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.