DERINDA DEE UPTON FNP-BC
NPI 1205262011
Nurse Practitioner - Family in Dallas, TX
About Derinda Dee Upton Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERINDA DEE UPTON FNP-BC (NPI 1205262011) is an individual family provider in Dallas, Texas, licensed in Tennessee (APN17647) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derinda Dee Upton Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derinda Upton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Tennessee enrollment
- 528 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 75244 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Derinda Upton's NPI number?
The NPI number for Derinda Upton is 1205262011. It was assigned to this individual provider in the NPPES registry on September 25, 2013.
Where is Derinda Upton located?
Derinda Upton practices at 4055 Valley View Ln Ste 400, Dallas, TX 75244. The listed phone number is (865) 227-0244.
What is Derinda Upton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Derinda Upton enrolled in Medicare?
Yes. Derinda Upton is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Derinda Upton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derinda Upton reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Derinda Upton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Derinda Upton was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Derinda Dee Upton, FNP-BC · NPI 1205262011
Family physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since September 25, 2013.
## Identity
- **NPI:** 1205262011 (Entity type: Individual)
- **Enumerated:** September 25, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN17647 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 4055 VALLEY VIEW LN STE 400, Dallas, TX 75244-5071
- **Phone:** (865) 227-0244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205262011) · Data from the CMS NPPES public registry.