OLIVIA ANNE DERRYBERRY PA-C
NPI 1154124261
Physician Assistant in Oklahoma City, OK
About Olivia Anne Derryberry Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLIVIA ANNE DERRYBERRY PA-C (NPI 1154124261) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (5602) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Olivia Anne Derryberry Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73120 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
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 Olivia Derryberry's NPI number?
The NPI number for Olivia Derryberry is 1154124261. It was assigned to this individual provider in the NPPES registry on April 1, 2025.
Where is Olivia Derryberry located?
Olivia Derryberry practices at 11101 Hefner Pointe Dr, Oklahoma City, OK 73120. The listed phone number is (580) 223-0447.
What is Olivia Derryberry's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Olivia Derryberry enrolled in Medicare?
Yes. Olivia Derryberry 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 Olivia Derryberry accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Olivia Derryberry 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.
When was this NPI record last updated?
The NPPES record for Olivia Derryberry was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Olivia Anne Derryberry, PA-C · NPI 1154124261
Physician Assistant physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since April 1, 2025.
## Identity
- **NPI:** 1154124261 (Entity type: Individual)
- **Enumerated:** April 1, 2025
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 5602 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 11101 HEFNER POINTE DR, Oklahoma City, OK 73120-0600
- **Phone:** (580) 223-0447
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154124261) · Data from the CMS NPPES public registry.