KRISTOPHER DERBYSHIRE CRNP
NPI 1083158042
Nurse Practitioner - Primary Care in Elkridge, MD
About Kristopher Derbyshire Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTOPHER DERBYSHIRE CRNP (NPI 1083158042) is an individual primary care provider in Elkridge, Maryland, licensed in Maryland (R200668) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristopher Derbyshire Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELKRIDGE, MD 21075
ELKRIDGE, MD 21075
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 Kristopher Derbyshire's NPI number?
The NPI number for Kristopher Derbyshire is 1083158042. It was assigned to this individual provider in the NPPES registry on December 10, 2016.
Where is Kristopher Derbyshire located?
Kristopher Derbyshire practices at 6095 Marshalee Dr United Health Group/Optum, Elkridge, MD 21075. The listed phone number is (410) 379-3599.
What is Kristopher Derbyshire's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kristopher Derbyshire enrolled in Medicare?
Yes. Kristopher Derbyshire is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kristopher Derbyshire was last updated on December 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kristopher Derbyshire, CRNP · NPI 1083158042
Primary Care physician in Elkridge, Maryland. Individual provider, active in the CMS NPPES registry since December 10, 2016.
## Identity
- **NPI:** 1083158042 (Entity type: Individual)
- **Enumerated:** December 10, 2016
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** R200668 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6095 MARSHALEE DR, UNITED HEALTH GROUP/OPTUM, Elkridge, MD 21075-6053
- **Phone:** (410) 379-3599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 10, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1083158042) · Data from the CMS NPPES public registry.