MRS. CAROLINE LOUISE DERRICK N.P.
NPI 1295893055
Nurse Practitioner - Family in Clinton Township, MI

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 203-1195 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Caroline Louise Derrick N.p. NPPES

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

MRS. CAROLINE LOUISE DERRICK N.P. (NPI 1295893055) is an individual family provider in Clinton Township, Michigan, licensed in Michigan (4704234693) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1295893055
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CAROLINE LOUISE DERRICKCredential: N.P.
Location Address15855 19 MILE RDClinton Township, MI 48038-3504
Mailing Address15674 Grosvenor LnMacomb, MI 48044-1518 · (586) 943-3999
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 5, 2006
Last NPPES UpdateFebruary 2, 2021
NPPES CertifiedFebruary 2, 2021
NPI 1295893055 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 MI · 4704234693
15855 19 MILE RD, Clinton Township, MI 48038

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

Mrs. Caroline Louise Derrick N.p. 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 ID9638312283
PECOS Enrollment IDI20130829000095
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Family)
15855 19 MILE RD
CLINTON TWP, MI 48038
Emergency Medicine
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Practitioner
15855 19 MILE RD, EMERGENCY MEDICINE DEPARTMENT
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Pharmacist
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Pathology (Anatomic Pathology & Clinical Pathology)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295893055, enumerated as an "individual" on December 05, 2006.

The provider is located at 15855 19 MILE RD CLINTON TOWNSHIP, MI 48038 and the phone number is (586) 203-1195.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Caroline Derrick is affiliated with: HENRY FORD MACOMB HOSPITAL.