MELISSA DERR PA-C
NPI 1487128609
Physician Assistant - Medical in Jacksonville, FL

Q: What is Melissa Derr's NPI number?

The NPI number for Melissa Derr is 1487128609. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Q: What is Melissa Derr's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Derr was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 22, 2019PECOS EnrolledAccepts Medicare Assignment

8767 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216(904) 402-8346(904) 402-8347 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2025, Jan 22, 2019 (2 updates tracked since 2019).

On this page

About Melissa Derr Pa-c NPPES

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

MELISSA DERR PA-C (NPI 1487128609) is an individual medical provider in Jacksonville, Florida, licensed in Florida (9111920) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487128609

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMELISSA DERRCredential: PA-C

Location Address8767 PERIMETER PARK BLVDJacksonville, FL 32216-5479

Mailing Address1917 Summit Ridge RdFleming Island, FL 32003-4967 · (813) 148-4223

Phone(904) 402-8346

Fax(904) 402-8347

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 22, 2019

Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1487128609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · 9111920

8767 PERIMETER PARK BLVD, Jacksonville, FL 32216

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Melissa Derr Pa-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 ID7810370624

PECOS Enrollment IDI20220811001218

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

59 services50 patients

Injection of chemical agent into multiple incompetent veins of leg 36471

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

58 services44 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

29 services25 patients

Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465

This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.

28 services24 patients

Leave this field empty

Other Providers at the Same Location NPPES 10

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

WHITNEY NICOLE DOSTIE APRN

Nurse Practitioner