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MARY JOY E DERLA
NPI 1407686231
Nurse Practitioner - Family in Fort Totten, ND

Active since August 06, 2024PECOS EnrolledAccepts Medicare Assignment
3883 74TH AVENUE NE, FORT TOTTEN, ND 58335(701) 766-1600 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Joy E Derla NPPES

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

MARY JOY E DERLA (NPI 1407686231) is an individual family provider in Fort Totten, North Dakota, licensed in North Dakota (200103) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407686231
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY JOY E DERLA
Location Address3883 74TH AVENUE NEFort Totten, ND 58335
Mailing Address1401 3rd St Ne Apt EDevils Lake, ND 58301-3323 · (701) 350-2409
Phone(701) 766-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 6, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1407686231 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 ND · 200103
3883 74TH AVENUE NE, Fort Totten, ND 58335
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.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

Mary Joy E Derla 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 ID143751198
PECOS Enrollment IDI20241002000955
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58335 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELBY MARIE GILLETT PHARMD
Pharmacist
3883 74TH AVENUE NE
FORT TOTTEN, ND 58335
Benson County (701) 766-1612
MS. SHERRIE R. LANDSEM WALFORD MT
Pathology (Clinical Laboratory Director, Non-physician)
3883 74TH AVENUE NE, BOX 309
FORT TOTTEN, ND 58335
Benson County (701) 766-1600
TAMMY DELAINE LAWRENCE RN
Registered Nurse (Ambulatory Care)
3883 74TH AVENUE NE
FORT TOTTEN, ND 58335
Benson County (701) 766-1600
MISS TIFFANI D. SHOWALTER PA
Physician Assistant (Medical)
3883 74TH AVENUE NE
FORT TOTTEN, ND 58335
Benson County (701) 766-1600
MRS. DARLENE K. SCHOENFISH RN
Registered Nurse
3883 74TH AVENUE NE
FT.TOTTEN,, ND 58335
Benson County (701) 766-1600
NECITO L MONTANIEL MD
General Practice
3883 74TH AVENUE NE
FORT TOTTEN, ND 58335
Benson County (701) 766-1600

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 Mary Joy Derla's NPI number?

The NPI number for Mary Joy Derla is 1407686231. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Where is Mary Joy Derla located?

Mary Joy Derla practices at 3883 74th Avenue NE, Fort Totten, ND 58335. The listed phone number is (701) 766-1600.

What is Mary Joy Derla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Joy Derla enrolled in Medicare?

Yes. Mary Joy Derla 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 Mary Joy Derla accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Mary Joy Derla 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 Mary Joy Derla was last updated on August 6, 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.