MRS. CAROLE ANNE DERUCKI FNP-BC
NPI 1205809225
Nurse Practitioner - Family in Saint Joseph, MI
About Mrs. Carole Anne Derucki Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CAROLE ANNE DERUCKI FNP-BC (NPI 1205809225) is an individual family provider in Saint Joseph, Michigan, licensed in Michigan (4704166108) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 5
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
Mrs. Carole Anne Derucki Fnp-bc 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph Regional Medical Center
Acute Care Hospitals · Mishawaka, INMemorial Hospital Of South Bend
Acute Care Hospitals · South Bend, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAINT JOSEPH, MI 49085
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 Carole Derucki's NPI number?
The NPI number for Carole Derucki is 1205809225. It was assigned to this individual provider in the NPPES registry on February 9, 2006. The provider is also known as Miss Carole Anne Brancaleon.
Where is Carole Derucki located?
Carole Derucki practices at 2900 Lakeview Ave, Saint Joseph, MI 49085. The listed phone number is (269) 932-7859.
What is Carole Derucki's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carole Derucki enrolled in Medicare?
Yes. Carole Derucki 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 Carole Derucki accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Carole Derucki 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.
Is Carole Derucki affiliated with any hospitals?
According to CMS data, Carole Derucki is affiliated with Saint Joseph Regional Medical Center and Memorial Hospital Of South Bend.
When was this NPI record last updated?
The NPPES record for Carole Derucki was last updated on February 29, 2024. 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.
# Mrs. Carole Anne Derucki, FNP-BC · NPI 1205809225
Family physician in Saint Joseph, Michigan. Individual provider, active in the CMS NPPES registry since February 9, 2006.
## Identity
- **NPI:** 1205809225 (Entity type: Individual)
- **Enumerated:** February 9, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704166108 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2900 LAKEVIEW AVE, Saint Joseph, MI 49085-2379
- **Phone:** (269) 932-7859 · **Fax:** (269) 932-7859
## 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 2005
## Record status
- **NPPES last updated:** February 29, 2024
- **Other identifiers:** Medicaid 478536310 (MI); Medicaid 200917690A (IN); Other 000000723347 (IN); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1205809225) · Data from the CMS NPPES public registry.