DAWN MARIE DERKS ACNS-BC, PMHNP-BC
NPI 1396147377
Nurse Practitioner - Psychiatric/Mental Health in Saint Paul, MN

Active since September 21, 2014PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3665 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dawn Marie Derks Acns-bc, Pmhnp-bc NPPES

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

DAWN MARIE DERKS ACNS-BC, PMHNP-BC (NPI 1396147377) is an individual psychiatric/mental health provider in Saint Paul, Minnesota, licensed in Wisconsin (15001-33) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Tamarack Health Ashland Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396147377
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDAWN MARIE DERKSCredential: ACNS-BC, PMHNP-BC
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing Address1615 Maple LnAshland, WI 54806-3626 · (715) 685-5500 · Fax (715) 682-4022
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 21, 2014
Last NPPES UpdateFebruary 9, 2024
NPPES CertifiedFebruary 9, 2024
NPI 1396147377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WI · 15001-33
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 2014005854 (MN)
640 JACKSON ST, Saint Paul, MN 55101

Other Identifiers 1

OtherC02467MN · Medicare

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

Dawn Marie Derks Acns-bc, Pmhnp-bc 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 ID9830411339
PECOS Enrollment IDI20240329001084
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.

Hospital Affiliations CMS Care Compare

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

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521359
Location1615 Maple LaneAshland, WI 54806 · Ashland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 Dawn Derks's NPI number?

The NPI number for Dawn Derks is 1396147377. It was assigned to this individual provider in the NPPES registry on September 21, 2014.

Where is Dawn Derks located?

Dawn Derks practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3665.

What is Dawn Derks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dawn Derks enrolled in Medicare?

Yes. Dawn Derks 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.

What insurance does Dawn Derks accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Dawn Derks 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.

Is Dawn Derks affiliated with any hospitals?

According to CMS data, Dawn Derks is affiliated with Tamarack Health Ashland Medical Center.

When was this NPI record last updated?

The NPPES record for Dawn Derks was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.