MS. AMY MARIE DERRICK APN
NPI 1174281513
Nurse Practitioner - Psychiatric/Mental Health in Manasquan, NJ

Active since December 02, 2021PECOS EnrolledAccepts Medicare Assignment
2640 HIGHWAY 70 STE 201, MANASQUAN, NJ 08736(327) 202-0622(732) 202-0620 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 24, 2023, Jun 9, 2023, Dec 2, 2021 (3 updates tracked since 2021).

About Ms. Amy Marie Derrick Apn NPPES

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

MS. AMY MARIE DERRICK APN (NPI 1174281513) is an individual psychiatric/mental health provider in Manasquan, New Jersey, licensed in New Jersey (26NJ14857300) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Princeton, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174281513
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. AMY MARIE DERRICKCredential: APN
Location Address2640 HIGHWAY 70 STE 201Manasquan, NJ 08736-2609
Mailing Address448 Lukas BlvdMorganville, NJ 07751-9741 · (732) 598-0340
Fax(732) 202-0620
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 2, 2021
Last NPPES UpdateOctober 24, 20233 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1174281513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ14857300
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR18163900 (NJ)
2640 HIGHWAY 70 STE 201, Manasquan, NJ 08736

Secondary Practice Location 1

Location 112 Roszel Rd Ste A103Princeton, NJ 08540-6234 · Phone (609) 419-0123 · Fax (609) 419-0126

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

Ms. Amy Marie Derrick Apn 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 ID9739532425
PECOS Enrollment IDI20240130000528
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 Reassignment

Medicare enrollment records show Amy Derrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, 1500 ROUTE 88 WEST
Brick, NJ 08724
  • Reassigned Medicare billing, New Jersey enrollment
  • 49 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08736 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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 Amy Derrick's NPI number?

The NPI number for Amy Derrick is 1174281513. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Where is Amy Derrick located?

Amy Derrick practices at 2640 Highway 70 Ste 201, Manasquan, NJ 08736. The listed phone number is (327) 202-0622.

What is Amy Derrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amy Derrick enrolled in Medicare?

Yes. Amy Derrick 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 organization bills Medicare for Amy Derrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Derrick reassigns Medicare benefits to Preferred Behavioral Health Of New Jersey, Inc. (Brick, NJ). The 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 Amy Derrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Derrick accept?

Health plans from Oscar Health list Amy Derrick 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 Amy Derrick was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.