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REBECCA D DERBY NP
NPI 1053789149
Nurse Practitioner in Clarksville, TN

Active since September 08, 2015PECOS EnrolledAccepts Medicare Assignment
980 PROFESSIONAL PARK DR, STE. C, CLARKSVILLE, TN 37040(931) 647-5747 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rebecca D Derby Np NPPES

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

REBECCA D DERBY NP (NPI 1053789149) is an individual nurse practitioner in Clarksville, Tennessee, licensed in Tennessee (20361) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-clarksville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053789149
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameREBECCA D DERBYCredential: NP
Location Address980 PROFESSIONAL PARK DR, STE. CClarksville, TN 37040-5251
Mailing AddressPo Box 681789Franklin, TN 37068-1789
Phone(931) 647-5747
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 8, 2015
Last NPPES UpdateJuly 1, 2016
✔ NPI 1053789149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 20361
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
980 PROFESSIONAL PARK DR, Clarksville, TN 37040
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Other Identifiers 3

Medicare PIN10350I2616TN
MedicaidQ016334TN
Medicare PIN10I3507682TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.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

Rebecca D Derby Np 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 ID3870802432
PECOS Enrollment IDI20160915002370
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

4

Medicare enrollment records show Rebecca Derby reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Havely Springs Emergency Group, PC
23 mi
Emergency Medicine
100 NORTHCREST DR
Springfield, TN 37172
  • Reassigned Medicare billing, Tennessee enrollment
  • 22 clinicians in this Medicare group
NPI 1770090110 (615) 698-3000
Fep Of Kentucky LLC
23 mi
Emergency Medicine
320 W 18TH ST
Hopkinsville, KY 42240
  • Reassigned Medicare billing, Kentucky enrollment
  • 36 clinicians in this Medicare group
NPI 1770266553 (505) 287-4446
App Of Tennessee Ed, PLLC
194 mi
Emergency Medicine
907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804
  • Reassigned Medicare billing, Tennessee enrollment
  • 390 clinicians in this Medicare group
NPI 1003230236 (865) 983-7211
Southeastern Emergency Physicians LLC
237 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
91 services90 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services68 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440035
Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 14

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

MRS. JENNY LEE ROBINSON MS, PA-C
Physician Assistant
980 PROFESSIONAL PARK DR, SUITE A
CLARKSVILLE, TN 37040
Montgomery County (931) 905-1001
INESSA PAVLOVNA BROOKS PAC
Physician Assistant
980 PROFESSIONAL PARK DR, SUITE A
CLARKSVILLE, TN 37040
Montgomery County (931) 905-1001
KEITH D STARKWEATHER, M.D., P.C.
Durable Medical Equipment & Medical Supplies
980 PROFESSIONAL PARK DR, SUITE A
CLARKSVILLE, TN 37040
Montgomery County (931) 905-1001
CASEY DANIEL SIGERSON D.O.
Orthopaedic Surgery (Hand Surgery)
980 PROFESSIONAL PARK DR
CLARKSVILLE, TN 37040
Montgomery County (931) 905-1001
PAIN MD LLC
Prosthetic/Orthotic Supplier
980 PROFESSIONAL PARK DR, STE. C
CLARKSVILLE, TN 37040
Montgomery County (931) 647-5747
JOHN L STANTON M.D.
Orthopaedic Surgery
980 PROFESSIONAL PARK DR, SUITE A
CLARKSVILLE, TN 37040
Montgomery County (931) 905-1001
KEITH D. STARKWEATHER, MD, PC
Specialist
980 PROFESSIONAL PARK DR, SUITE A
CLARKSVILLE, TN 37040
Montgomery County (931) 905-1001
MS. CHARITY ELIZABETH WINTERS DPT
Physical Therapist
980 PROFESSIONAL PARK DR, SUITE D
CLARKSVILLE, TN 37040
Montgomery County (931) 221-9967

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 Rebecca Derby's NPI number?

The NPI number for Rebecca Derby is 1053789149. It was assigned to this individual provider in the NPPES registry on September 8, 2015.

Where is Rebecca Derby located?

Rebecca Derby practices at 980 Professional Park Dr Ste. C, Clarksville, TN 37040. The listed phone number is (931) 647-5747.

What is Rebecca Derby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rebecca Derby enrolled in Medicare?

Yes. Rebecca Derby 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 Rebecca Derby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Derby reassigns Medicare benefits to 4 organizations: Havely Springs Emergency Group, PC (Springfield, TN), Fep Of Kentucky LLC (Hopkinsville, KY), App Of Tennessee Ed, PLLC (Maryville, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). 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 Rebecca Derby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Derby accept?

Health plans from Oscar Health and Oscar Insurance Company list Rebecca Derby 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.

Is Rebecca Derby affiliated with any hospitals?

According to CMS data, Rebecca Derby is affiliated with Tennova Healthcare-Clarksville.

When was this NPI record last updated?

The NPPES record for Rebecca Derby was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.