DEREKKA ALYSE YBARRA
NPI 1104336536
Nurse Practitioner in Miami, OK

Active since October 12, 2017PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2025, Feb 17, 2022, Dec 23, 2020 and 2 more (5 updates tracked since 2017).

About Derekka Alyse Ybarra NPPES

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

DEREKKA ALYSE YBARRA (NPI 1104336536) is an individual nurse practitioner in Miami, Oklahoma, licensed in Oklahoma (113409) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Integris Miami Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104336536
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDEREKKA ALYSE YBARRA
Location Address30 B ST SWMiami, OK 74354-6808
Mailing AddressPo Box 3810Joplin, MO 64803-3810
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 12, 2017
Last NPPES UpdateAugust 7, 20255 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1104336536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in OK · 113409✔ Licensed in MO · 2020036159
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.
30 B ST SW, Miami, OK 74354

Secondary Practice Locations 4

Location 11510 Elmwood CirMiami, OK 74354-1405 · Phone (918) 541-6740
Location 2200 2nd Ave SWMiami, OK 74354-6830 · Phone (918) 542-6611
Location 31102 W 32nd StJoplin, MO 64804-3503 · Phone (417) 347-1111
Location 43333 McIntosh Cir Ste 4Joplin, MO 64804-3681 · Phone (417) 347-5000

Accepted 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

Derekka Alyse Ybarra 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 ID8628330958
PECOS Enrollment IDI20180326000290, I20251027002095
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 Derekka Ybarra reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
310 2ND AVE SW
Miami, OK 74354
  • Reassigned Medicare billing, Oklahoma and Missouri enrollments
  • Also billed through NPI 1679517023 (Missouri)
  • 10 clinicians in this Medicare group
Emergency Medicine
1323 W 6TH AVE
Stillwater, OK 74074
  • Reassigned Medicare billing, Oklahoma enrollment
  • 298 clinicians in this Medicare group
Emergency Medicine
901 N PORTER AVE
Norman, OK 73071
  • Reassigned Medicare billing, Oklahoma enrollment
  • 418 clinicians in this Medicare group
Family Medicine
6744 NW CACHE RD
Lawton, OK 73505
  • Reassigned Medicare billing, Oklahoma enrollment
  • 249 clinicians in this Medicare group

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 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 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.
236 services200 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Integris Miami Hospital

Acute Care Hospitals · Miami, OK
OwnershipVoluntary non-profit - Other
CMS Certification Number370004
Location200 Second Avenue SouthwestMiami, OK 74355 · Ottawa County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Integris Grove Hospital

Acute Care Hospitals · Grove, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370113
Location1001 East 18th StreetGrove, OK 74344 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74354 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost58.46

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.

Podiatrist
30 B ST SW
MIAMI, OK 74354
Family Medicine
30 B ST SW
MIAMI, OK 74354
Podiatrist
30 B ST SW
MIAMI, OK 74354
General Practice
30 B ST SW
MIAMI, OK 74354
Nurse Practitioner
30 B ST SW
MIAMI, OK 74354
Clinic/Center (Rural Health)
30 B ST SW
MIAMI, OK 74354

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 Derekka Ybarra's NPI number?

The NPI number for Derekka Ybarra is 1104336536. It was assigned to this individual provider in the NPPES registry on October 12, 2017.

Where is Derekka Ybarra located?

Derekka Ybarra practices at 30 B St SW, Miami, OK 74354. The listed phone number is (918) 542-2273.

What is Derekka Ybarra's specialty?

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

Is Derekka Ybarra enrolled in Medicare?

Yes. Derekka Ybarra 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 Derekka Ybarra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derekka Ybarra reassigns Medicare benefits to 4 organizations: Freeman-Oak Hill Health System (Miami, OK), South Central Emergency Services PC (Stillwater, OK), Emergency Services Of Oklahoma PC (Norman, OK) and Williams Medical Group Practice, LLC (Lawton, OK). 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 Derekka Ybarra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derekka Ybarra accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Derekka Ybarra 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 Derekka Ybarra affiliated with any hospitals?

According to CMS data, Derekka Ybarra is affiliated with Integris Miami Hospital, Saint Francis Hospital, Inc and Integris Grove Hospital.

When was this NPI record last updated?

The NPPES record for Derekka Ybarra was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.