DALINE DERIVAL RN, MSN, FNP-BC
NPI 1093235319
Nurse Practitioner - Family in Brooklyn, NY

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment
91.6/100
CMS Quality Rating
677 E 19TH STREET, BROOKLYN, NY 11230(404) 388-4725 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2018, Jun 27, 2017 (2 updates tracked since 2017).

About Daline Derival Rn, Msn, Fnp-bc NPPES

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

DALINE DERIVAL RN, MSN, FNP-BC (NPI 1093235319) is an individual family provider in Brooklyn, New York, licensed in New York (F342636-1) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093235319
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDALINE DERIVALCredential: RN, MSN, FNP-BC
Location Address677 E 19TH STREETBrooklyn, NY 11230
Mailing Address677 E 19th StBrooklyn, NY 11230-1805
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 27, 2017
Last NPPES UpdateApril 10, 20182 updates tracked since enumeration
NPI 1093235319 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
License Licensed in NY · F342636-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 718612 (NY)
677 E 19TH STREET, Brooklyn, NY 11230

Accepted 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

Daline Derival Rn, Msn, Fnp-bc 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 ID5395089676
PECOS Enrollment IDI20221025001178
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.

Areas of Expertise CMS Part B claims 2

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.

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.
19 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11230 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability100
Improvement Activities40
Cost73

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Daline Derival's NPI number?

The NPI number for Daline Derival is 1093235319. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Daline Derival located?

Daline Derival practices at 677 E 19th Street, Brooklyn, NY 11230. The listed phone number is (404) 388-4725.

What is Daline Derival's specialty?

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

Is Daline Derival enrolled in Medicare?

Yes. Daline Derival 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.

What insurance does Daline Derival accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Daline Derival 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 Daline Derival affiliated with any hospitals?

According to CMS data, Daline Derival is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daline Derival was last updated on April 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.