MS. KATHRYN JENNY DERRICK PA-C
NPI 1215412309
Physician Assistant in Sun City Center, FL

Q: What is Kathryn Derrick's NPI number?

The NPI number for Kathryn Derrick is 1215412309. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Q: What is Kathryn Derrick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Derrick was last updated on January 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2018PECOS EnrolledAccepts Medicare Assignment

991 E DEL WEBB BLVD, SUN CITY CENTER, FL 33573(813) 978-9700 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2023, Mar 2, 2021, May 26, 2020 and 3 more (6 updates tracked since 2018).

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About Ms. Kathryn Jenny Derrick Pa-c NPPES

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

MS. KATHRYN JENNY DERRICK PA-C (NPI 1215412309) is an individual physician assistant in Sun City Center, Florida, licensed in Florida (PA9111539) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215412309

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. KATHRYN JENNY DERRICKCredential: PA-C

Location Address991 E DEL WEBB BLVDSun City Center, FL 33573-6669

Mailing Address13020 N Telecom PkwyTemple Terrace, FL 33637-0915 · (813) 978-9700

Phone(813) 978-9700

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 25, 2018

Last NPPES UpdateJanuary 18, 20236 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2023

✔ NPI 1215412309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9111539

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 9111539 (FL)

991 E DEL WEBB BLVD, Sun City Center, FL 33573

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Other Identifiers 1

Medicaid101229400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Ms. Kathryn Jenny Derrick Pa-c 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 ID42554420

PECOS Enrollment IDI20181212001544

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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,248 services78 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

190 services162 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

159 services110 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

104 services80 patients

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326

Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.

59 services40 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

45 services40 patients

Hospital Affiliations CMS Care Compare

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100128

Location1 Tampa General CirTampa, FL 33606 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33573 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

AMY FARNSWORTH PTA

Physical Therapy Assistant