ALLYSON DERRICK
NPI 1053933267
Nurse Practitioner - Acute Care in Columbia, SC

Q: What is Allyson Derrick's NPI number?

The NPI number for Allyson Derrick is 1053933267. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Q: What is Allyson Derrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Allyson Derrick was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since May 11, 2020PECOS EnrolledAccepts Medicare Assignment

99.32/100

CMS Quality Rating

2 MEDICAL PARK RD STE 302, COLUMBIA, SC 29203(803) 434-8820(803) 254-0821 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Mar 2, 2021, May 11, 2020 (3 updates tracked since 2020).

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About Allyson Derrick NPPES

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

ALLYSON DERRICK (NPI 1053933267) is an individual acute care provider in Columbia, South Carolina, licensed in South Carolina (24420) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1053933267

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameALLYSON DERRICK

Location Address2 MEDICAL PARK RD STE 302Columbia, SC 29203-6839

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697

Phone(803) 434-8820

Fax(803) 254-0821

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 11, 2020

Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1053933267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in SC · 24420

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2 MEDICAL PARK RD STE 302, Columbia, SC 29203

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Secondary Practice Location 1

Location 11 Richland Medical Park Dr Ste 300Columbia, SC 29203-6831 · Phone (803) 545-5500 · Fax (803) 933-3022

Other Identifiers 1

MedicaidNP7372SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

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

Allyson Derrick 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 ID4183039944

PECOS Enrollment IDI20210209002156

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.

Hospital Affiliations CMS Care Compare

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420018

Location5 Medical ParkColumbia, SC 29203 · Richland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

90.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 6

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

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