DEREK RYAN DUTTRY
NPI 1184406175
Registered Nurse - Critical Care Medicine in Danville, PA

Active since October 16, 2023Accepts Medicare Assignment
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6211 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Ryan Duttry NPPES

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

DEREK RYAN DUTTRY (NPI 1184406175) is an individual critical care medicine provider in Danville, Pennsylvania, licensed in Pennsylvania (210151454) and active in the NPI registry since October 2023. He is affiliated with Geisinger Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184406175
Entity TypeIndividualMale
Primary Taxonomy163WC0200X
Provider Legal NameDEREK RYAN DUTTRY
Location Address100 N ACADEMY AVEDanville, PA 17822-0001
Mailing Address833 5th StDanville, PA 17821-7661
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
NPI 1184406175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License Licensed in PA · 210151454
100 N ACADEMY AVE, Danville, PA 17822

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

Derek Ryan Duttry 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 ID42757825
PECOS Enrollment IDI20240730002899

Hospital Affiliations CMS Care Compare

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822

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 Derek Duttry's NPI number?

The NPI number for Derek Duttry is 1184406175. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Derek Duttry located?

Derek Duttry practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-6211.

What is Derek Duttry's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

Is Derek Duttry enrolled in Medicare?

Yes. Derek Duttry 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.

Is Derek Duttry affiliated with any hospitals?

According to CMS data, Derek Duttry is affiliated with Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Duttry was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.