DONNA LYNN DEROSE APN
NPI 1285168120
Nurse Practitioner - Psychiatric/Mental Health in Crystal Lake, IL

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014(815) 444-9999 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1285168120
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDONNA LYNN DEROSECredential: APN
Location Address145 S VIRGINIA STCrystal Lake, IL 60014-7226
Mailing Address8802 Reese RdHarvard, IL 60033-9125 · (815) 600-6979
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 18, 2017
NPI 1285168120 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 IL · 209015563
145 S VIRGINIA ST, Crystal Lake, IL 60014

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

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.

PECOS PAC ID7416234505
PECOS Enrollment IDI20170427000134
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 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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
189 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
170 services42 patients

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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
Social Worker (Clinical)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
Counselor (Professional)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
Psychiatry & Neurology (Psychiatry)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
Social Worker (Clinical)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
Psychiatry & Neurology (Psychiatry)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
Counselor
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
Psychiatry & Neurology (Addiction Medicine)
145 S VIRGINIA ST
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.

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.