MRS. NANCY DIANE DEROSA ARNP
NPI 1205848009
Nurse Practitioner - Women's Health in Fort Knox, KY

Active since August 12, 2006PECOS Enrolled
289 IRELAND AVE, FORT KNOX, KY 40121(502) 624-9007 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nancy Diane Derosa Arnp NPPES

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

MRS. NANCY DIANE DEROSA ARNP (NPI 1205848009) is an individual women's health provider in Fort Knox, Kentucky, licensed in Kentucky (4590P) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205848009
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. NANCY DIANE DEROSACredential: ARNP
Location Address289 IRELAND AVEFort Knox, KY 40121-5111
Mailing Address4540 Wooldridge Ferry RdElizabethtown, KY 42701-6136 · (270) 737-4832
Sole ProprietorNo
Enumeration DateAugust 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205848009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in KY · 4590P
289 IRELAND AVE, Fort Knox, KY 40121

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Nancy Diane Derosa Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 40121 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

Marriage & Family Therapist
289 IRELAND AVE
FORT KNOX, KY 40121
Nurse Practitioner (Family)
289 IRELAND AVE
FORT KNOX, KY 40121
Pharmacist
289 IRELAND AVE
FORT KNOX, KY 40121
General Practice
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL
FORT KNOX, KY 40121
Physical Therapist
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL
FORT KNOX, KY 40121
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
289 IRELAND AVE
FORT KNOX, KY 40121
Nurse Practitioner (Women's Health)
289 IRELAND AVE
FORT KNOX, KY 40121
Speech-Language Pathologist
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL
FORT KNOX, KY 40121

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 Nancy Derosa's NPI number?

The NPI number for Nancy Derosa is 1205848009. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Nancy Derosa located?

Nancy Derosa practices at 289 Ireland Ave, Fort Knox, KY 40121. The listed phone number is (502) 624-9007.

What is Nancy Derosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Nancy Derosa enrolled in Medicare?

Yes. Nancy Derosa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nancy Derosa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.