DEREK SMITH APRN-CNP
NPI 1255981601
Nurse Practitioner - Family in Ardmore, OK
About Derek Smith Aprn-cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK SMITH APRN-CNP (NPI 1255981601) is an individual family provider in Ardmore, Oklahoma, licensed in Oklahoma (102505) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ardmore, Inc, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Derek Smith Aprn-cnp 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.
Medicare Billing Reassignments
4Medicare enrollment records show Derek Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ardmore, OK 73401
- Reassigned Medicare billing, Oklahoma enrollment
Harrah, OK 73045
- Reassigned Medicare billing, Oklahoma enrollment
- 59 clinicians in this Medicare group
Oklahoma City, OK 73120
- Reassigned Medicare billing, Oklahoma enrollment
- 975 clinicians in this Medicare group
Guthrie, OK 73044
- Reassigned Medicare billing, Oklahoma enrollment
- 137 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Ardmore, Inc
Acute Care Hospitals · Ardmore, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73401 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ARDMORE, OK 73401
ARDMORE, OK 73401
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 Derek Smith's NPI number?
The NPI number for Derek Smith is 1255981601. It was assigned to this individual provider in the NPPES registry on September 18, 2019.
Where is Derek Smith located?
Derek Smith practices at 1105 Michelin Rd, Ardmore, OK 73401. The listed phone number is (580) 224-8750.
What is Derek Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Derek Smith enrolled in Medicare?
Yes. Derek Smith 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.
Which organizations bill Medicare for Derek Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Smith reassigns Medicare benefits to 4 organizations: Triad Complete Healthcare A12 LLC (Ardmore, OK), Icare Center LLC (Harrah, OK), Mercy Clinic Oklahoma Communities (Oklahoma City, OK) and Mercy Hospital Logan County, Inc (Guthrie, OK). Each 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 Derek Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Smith accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Derek Smith 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 Derek Smith affiliated with any hospitals?
According to CMS data, Derek Smith is affiliated with Mercy Hospital Ardmore, Inc.
When was this NPI record last updated?
The NPPES record for Derek Smith was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Derek Smith, APRN-CNP · NPI 1255981601
Family physician in Ardmore, Oklahoma. Individual provider, active in the CMS NPPES registry since September 18, 2019.
## Identity
- **NPI:** 1255981601 (Entity type: Individual)
- **Enumerated:** September 18, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 102505 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1105 MICHELIN RD, Ardmore, OK 73401-1085
- **Phone:** (580) 224-8750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Triad Complete Healthcare A12 LLC (NPI 1891506960, Ardmore, OK); Icare Center LLC (NPI 1881190833, Harrah, OK); Mercy Clinic Oklahoma Communities (NPI 1386874550, Oklahoma City, OK); Mercy Hospital Logan County, Inc (NPI 1184905507, Guthrie, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255981601) · Data from the CMS NPPES public registry.