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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: July 19, 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 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
Phone(327) 202-0622
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
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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

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.

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.

When was this NPI record last updated?

The NPPES record for Amy Derrick was last updated on October 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.