MS. PAMELA KAY DERBY FNP
NPI 1295927432
Nurse Practitioner - Family in Minneapolis, MN
About Ms. Pamela Kay Derby Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. PAMELA KAY DERBY FNP (NPI 1295927432) is an individual family provider in Minneapolis, Minnesota, licensed in Virginia (0024167229) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Pamela Kay Derby Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55402 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.
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 Pamela Derby's NPI number?
The NPI number for Pamela Derby is 1295927432. It was assigned to this individual provider in the NPPES registry on August 13, 2007.
Where is Pamela Derby located?
Pamela Derby practices at 920 2nd Ave S Suite 400, Minneapolis, MN 55402. The listed phone number is (612) 225-1512.
What is Pamela Derby's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pamela Derby enrolled in Medicare?
Yes. Pamela Derby is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Pamela Derby was last updated on February 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Ms. Pamela Kay Derby, FNP · NPI 1295927432
Family physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since August 13, 2007.
## Identity
- **NPI:** 1295927432 (Entity type: Individual)
- **Enumerated:** August 13, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024167229 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 920 2ND AVE S, SUITE 400, Minneapolis, MN 55402-3318
- **Phone:** (612) 225-1512
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 25, 2009
- **Other identifiers:** Medicare UPIN MC10138 (VA); Medicare PIN 143933ZCCU (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1295927432) · Data from the CMS NPPES public registry.