CAROLINE F DERICHEMOND CRNP
NPI 1477535318
Nurse Practitioner in Wilkes Barre, PA
About Caroline F Derichemond Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINE F DERICHEMOND CRNP (NPI 1477535318) is an individual nurse practitioner in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (SP007053) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Caroline F Derichemond Crnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Caroline Derichemond reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilkes Barre, PA 18711
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger-Community Medical Center
Acute Care Hospitals · Scranton, PAGeisinger Medical Center
Acute Care Hospitals · Danville, PAGeisinger-Lewistown Hospital
Acute Care Hospitals · Lewistown, PAGeisinger Wyoming Valley Medical Center
Acute Care Hospitals · Wilkes Barre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18711 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.
WILKES BARRE, PA 18711
WILKES BARRE, PA 18711
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 Caroline Derichemond's NPI number?
The NPI number for Caroline Derichemond is 1477535318. It was assigned to this individual provider in the NPPES registry on November 16, 2005. The provider is also known as Caroline F Graham Crnp.
Where is Caroline Derichemond located?
Caroline Derichemond practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-6020.
What is Caroline Derichemond's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Caroline Derichemond enrolled in Medicare?
Yes. Caroline Derichemond 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 Caroline Derichemond's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Derichemond reassigns Medicare benefits to Geisinger Clinic (Wilkes Barre, PA). 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 Caroline Derichemond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Caroline Derichemond affiliated with any hospitals?
According to CMS data, Caroline Derichemond is affiliated with Geisinger-Community Medical Center, Geisinger Medical Center, Geisinger-Lewistown Hospital and Geisinger Wyoming Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Caroline Derichemond was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Caroline F Derichemond, CRNP · NPI 1477535318
Nurse Practitioner physician in Wilkes Barre, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 16, 2005.
## Identity
- **NPI:** 1477535318 (Entity type: Individual)
- **Enumerated:** November 16, 2005
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP007053 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711-0027
- **Phone:** (570) 808-6020 · **Fax:** (570) 808-2306
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Geisinger Clinic (NPI 1114295565, Wilkes Barre, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** July 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1477535318) · Data from the CMS NPPES public registry.