STACY C DERRERA NP
NPI 1144867243
Nurse Practitioner in Elizabeth, CO

Q: What is Stacy Derrera's NPI number?

The NPI number for Stacy Derrera is 1144867243. It was assigned to this individual provider in the NPPES registry on December 8, 2019.

Q: What is Stacy Derrera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Derrera was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 08, 2019

309 RUSHMORE ST, ELIZABETH, CO 80107(970) 619-9084 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 9, 2020, Dec 8, 2019 (2 updates tracked since 2019).

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About Stacy C Derrera Np NPPES

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

STACY C DERRERA NP (NPI 1144867243) is an individual nurse practitioner in Elizabeth, Colorado, licensed in Colorado (APN.0995141-NP) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1144867243

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACY C DERRERACredential: NP

Location Address309 RUSHMORE STElizabeth, CO 80107-7928

Mailing Address10900 W 44th Ave, Unit 200Wheat Ridge, CO 80033-2742 · (303) 993-1330 · Fax (303) 284-4082

Phone(970) 619-9084

Sole ProprietorYes

Enumeration DateDecember 8, 2019

Last NPPES UpdateJanuary 9, 20202 updates tracked since enumeration

✔ NPI 1144867243 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 CO · APN.0995141-NP

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.

309 RUSHMORE ST, Elizabeth, CO 80107

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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 Stacy Derrera's NPI number?

The NPI number for Stacy Derrera is 1144867243. It was assigned to this individual provider in the NPPES registry on December 8, 2019.

Where is Stacy Derrera located?

Stacy Derrera practices at 309 Rushmore St, Elizabeth, CO 80107. The listed phone number is (970) 619-9084.

What is Stacy Derrera's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacy Derrera was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.