DERRINGER FENTON NP
NPI 1386211308
Nurse Practitioner in Springfield, MO

Active since June 08, 2021PECOS EnrolledAccepts Medicare Assignment
440 E TAMPA ST, SPRINGFIELD, MO 65806(417) 851-1551(417) 865-3479 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Derringer Fenton Np NPPES

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

DERRINGER FENTON NP (NPI 1386211308) is an individual nurse practitioner in Springfield, Missouri, licensed in Missouri (2021020649) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386211308
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDERRINGER FENTONCredential: NP
Location Address440 E TAMPA STSpringfield, MO 65806-1131
Mailing Address440 E Tampa StSpringfield, MO 65806-1131 · (417) 851-1551 · Fax (417) 865-3479
Fax(417) 865-3479
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 8, 2021
NPPES CertifiedJune 8, 2021
✔ NPI 1386211308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2021020649
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
440 E TAMPA ST, Springfield, MO 65806

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

Derringer Fenton Np 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 ID6002218203
PECOS Enrollment IDI20210712000047
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.

Medicare Billing Reassignment

Medicare enrollment records show Derringer Fenton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
440 E TAMPA ST
Springfield, MO 65806
  • Reassigned Medicare billing, Missouri enrollment
  • 182 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65806 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Pharmacy (Community/Retail Pharmacy)
440 E TAMPA ST
SPRINGFIELD, MO 65806
Dental Hygienist
440 E TAMPA ST
SPRINGFIELD, MO 65806
Dentist
440 E TAMPA ST
SPRINGFIELD, MO 65806
Physician Assistant
440 E TAMPA ST
SPRINGFIELD, MO 65806
Student in an Organized Health Care Education/Training Program
440 E TAMPA ST
SPRINGFIELD, MO 65806
Student in an Organized Health Care Education/Training Program
440 E TAMPA ST
SPRINGFIELD, MO 65806
Dentist (Pediatric Dentistry)
440 E TAMPA ST
SPRINGFIELD, MO 65806
Dental Hygienist
440 E TAMPA ST
SPRINGFIELD, MO 65806

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 Derringer Fenton's NPI number?

The NPI number for Derringer Fenton is 1386211308. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Derringer Fenton located?

Derringer Fenton practices at 440 E Tampa St, Springfield, MO 65806. The listed phone number is (417) 851-1551.

What is Derringer Fenton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Derringer Fenton enrolled in Medicare?

Yes. Derringer Fenton 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 organization bills Medicare for Derringer Fenton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derringer Fenton reassigns Medicare benefits to Advocates For A Healthy Community, Inc (Springfield, MO). The 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 Derringer Fenton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derringer Fenton accept?

Health plans from Anthem Blue Cross and Blue Shield and Cox HealthPlans list Derringer Fenton 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 Derringer Fenton was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.