MRS. PAULA MARY DERLETH D.C.
NPI 1366602369
Student in an Organized Health Care Education/Training Program in Penfield, NY

Active since June 12, 2008Accepts Medicare Assignment
2 EDENFIELD RD, PENFIELD, NY 14526(585) 746-0453 Get Directions Write a Review

NPPES record last updated: October 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Paula Mary Derleth D.c. NPPES

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

MRS. PAULA MARY DERLETH D.C. (NPI 1366602369) is an individual student in an organized health care education/training program in Penfield, New York and active in the NPI registry since June 2008. She is a graduate of New York Chiropractic College (2008).

NPPES Registry Identity

NPI1366602369
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. PAULA MARY DERLETHCredential: D.C.
Location Address2 EDENFIELD RDPenfield, NY 14526-1413
Mailing Address2 Edenfield RdPenfield, NY 14526-1413 · (585) 746-0453
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 2008
Enumeration DateJune 12, 2008
Last NPPES UpdateOctober 3, 2008
NPI 1366602369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2 EDENFIELD RD, Penfield, NY 14526

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. Paula Mary Derleth D.c. 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 ID6800944224
PECOS Enrollment IDI20090423000167

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 Paula Derleth's NPI number?

The NPI number for Paula Derleth is 1366602369. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Paula Derleth located?

Paula Derleth practices at 2 Edenfield Rd, Penfield, NY 14526. The listed phone number is (585) 746-0453.

What is Paula Derleth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Paula Derleth enrolled in Medicare?

Yes. Paula Derleth 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 Paula Derleth was last updated on October 3, 2008. 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.