NDENE DERICK SALLE DNP, APRN, PMHNP-BC
NPI 1225755119
Nurse Practitioner - Psychiatric/Mental Health in Tucson, AZ

Q: What is Ndene Derick Salle's NPI number?

The NPI number for Ndene Derick Salle is 1225755119. It was assigned to this individual provider in the NPPES registry on October 21, 2022.

Q: What is Ndene Derick Salle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 21, 2022PECOS Enrolled

10000 S WILMOT RD, TUCSON, AZ 85756(240) 425-7240 Get Directions Write a Review

NPPES record last updated: March 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ndene Derick Salle Dnp, Aprn, Pmhnp-bc NPPES

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

NDENE DERICK SALLE DNP, APRN, PMHNP-BC (NPI 1225755119) is an individual psychiatric/mental health provider in Tucson, Arizona, licensed in Arizona (256335) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225755119

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameNDENE DERICK SALLECredential: DNP, APRN, PMHNP-BC

Location Address10000 S WILMOT RDTucson, AZ 85756-8699

Mailing Address9550 S Via BanderaVail, AZ 85641-2167 · (240) 425-7240

Phone(240) 425-7240

Sole ProprietorYes

Enumeration DateOctober 21, 2022

Last NPPES UpdateMarch 3, 2024

NPPES CertifiedMarch 3, 2024

✔ NPI 1225755119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 256335

10000 S WILMOT RD, Tucson, AZ 85756

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Providence Health Plan 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 (PECOS)

Ndene Derick Salle Dnp, Aprn, Pmhnp-bc 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 85756 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 15

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

PINKY ROXAS CASTILLO NURSE PRACTITIONER

Nurse Practitioner (Psychiatric/Mental Health)