DONNA LYNN DEROSE APN
NPI 1285168120
Nurse Practitioner - Psychiatric/Mental Health in Crystal Lake, IL
About Donna Lynn Derose Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONNA LYNN DEROSE APN (NPI 1285168120) is an individual psychiatric/mental health provider in Crystal Lake, Illinois, licensed in Illinois (209015563) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
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
Donna Lynn Derose Apn 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
2Medicare enrollment records show Donna Derose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cary, IL 60013
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Main St Psychiatry Sc
- 6 clinicians in this Medicare group
Volo, IL 60073
- Reassigned Medicare billing, Illinois enrollment
- 3 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60014 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CRYSTAL LAKE, IL 60014
CRYSTAL LAKE, IL 60014
CRYSTAL LAKE, IL 60014
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 Donna Derose's NPI number?
The NPI number for Donna Derose is 1285168120. It was assigned to this individual provider in the NPPES registry on April 18, 2017.
Where is Donna Derose located?
Donna Derose practices at 145 S Virginia St, Crystal Lake, IL 60014. The listed phone number is (815) 444-9999.
What is Donna Derose's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Donna Derose enrolled in Medicare?
Yes. Donna Derose 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 Donna Derose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Derose reassigns Medicare benefits to 2 organizations: Main St. Psychiatry, S.C. (Cary, IL) and Fj Psychological Services (Volo, IL). 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 Donna Derose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna Derose accept?
Health plans from Oscar Health list Donna Derose 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.
When was this NPI record last updated?
The NPPES record for Donna Derose was last updated on April 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Donna Lynn Derose, APN · NPI 1285168120
Psychiatric/Mental Health physician in Crystal Lake, Illinois. Individual provider, active in the CMS NPPES registry since April 18, 2017.
## Identity
- **NPI:** 1285168120 (Entity type: Individual)
- **Enumerated:** April 18, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209015563 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 145 S VIRGINIA ST, Crystal Lake, IL 60014-7226
- **Phone:** (815) 444-9999
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Main St. Psychiatry, S.C. (NPI 1346756491, Cary, IL); Fj Psychological Services (NPI 1730606575, Volo, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 18, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1285168120) · Data from the CMS NPPES public registry.