DEREK SMITH APRN-CNP
NPI 1255981601
Nurse Practitioner - Family in Ardmore, OK

Active since September 18, 2019PECOS EnrolledAccepts Medicare Assignment
1105 MICHELIN RD, ARDMORE, OK 73401(580) 224-8750 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2025, Jan 18, 2022, Sep 18, 2019 (3 updates tracked since 2019).

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

NPI1255981601
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDEREK SMITHCredential: APRN-CNP
Location Address1105 MICHELIN RDArdmore, OK 73401-1085
Mailing Address20 12th Ave NwArdmore, OK 73401-5722 · (580) 223-3411 · Fax (580) 226-6213
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 18, 2019
Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1255981601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OK · 102505
1105 MICHELIN RD, Ardmore, OK 73401

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

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.

PECOS PAC ID1456785088
PECOS Enrollment IDI20200107001317
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.

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, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 8

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

Physical Therapist
1105 MICHELIN RD
ARDMORE, OK 73401
Registered Nurse
1105 MICHELIN RD
ARDMORE, OK 73401
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
1105 MICHELIN RD
ARDMORE, OK 73401
Registered Nurse
1105 MICHELIN RD
ARDMORE, OK 73401
Family Medicine (Sports Medicine)
1105 MICHELIN RD, MICHELIN FAMILY HEALTH CENTER
ARDMORE, OK 73401
Clinic/Center
1105 MICHELIN RD
ARDMORE, OK 73401
Counselor (Professional)
1105 MICHELIN RD
ARDMORE, OK 73401
General Practice
1105 MICHELIN RD
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.

What insurance does Derek Smith accept?

Health plans from Blue Cross and Blue Shield of Oklahoma 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 16 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.