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DERRIK J HARADON-CHRISLER FNP
NPI 1043067713
Nurse Practitioner - Family in Big Flats, NY

Active since May 01, 2024PECOS EnrolledAccepts Medicare Assignment
12053 OAKFIELD CIR, BIG FLATS, NY 14814(607) 368-1267 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2025, May 1, 2024 (2 updates tracked since 2024).

About Derrik J Haradon-chrisler Fnp NPPES

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

DERRIK J HARADON-CHRISLER FNP (NPI 1043067713) is an individual family provider in Big Flats, New York, licensed in New York (357372) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043067713
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDERRIK J HARADON-CHRISLERCredential: FNP
Location Address12053 OAKFIELD CIRBig Flats, NY 14814-9600
Mailing Address12053 Oakfield CirBig Flats, NY 14814-9600
Phone(607) 368-1267
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 1, 2024
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1043067713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · 357372✔ Licensed in PA · SP033192
Also ListedRegistered NurseTaxonomy 163W00000X · License 819538 (NY), RN799382 (PA)
12053 OAKFIELD CIR, Big Flats, NY 14814
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derrik J Haradon-chrisler Fnp 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 ID4587168505
PECOS Enrollment IDI20250922001046
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14814 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Derrik Haradon-chrisler's NPI number?

The NPI number for Derrik Haradon-chrisler is 1043067713. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is Derrik Haradon-chrisler located?

Derrik Haradon-chrisler practices at 12053 Oakfield Cir, Big Flats, NY 14814. The listed phone number is (607) 368-1267.

What is Derrik Haradon-chrisler's specialty?

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

Is Derrik Haradon-chrisler enrolled in Medicare?

Yes. Derrik Haradon-chrisler 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.

When was this NPI record last updated?

The NPPES record for Derrik Haradon-chrisler was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.