DERRICK D FENCHEL MD
NPI 1497040638
Emergency Medicine in Maplewood, MN
About Derrick D Fenchel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK D FENCHEL MD (NPI 1497040638) is an individual emergency medicine provider in Maplewood, Minnesota, licensed in Minnesota (55276) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derrick D Fenchel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Derrick Fenchel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Vadnais Heights, MN 55110
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 218 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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Derrick Fenchel's NPI number?
The NPI number for Derrick Fenchel is 1497040638. It was assigned to this individual provider in the NPPES registry on June 16, 2011.
Where is Derrick Fenchel located?
Derrick Fenchel practices at 1575 Beam Ave, Maplewood, MN 55109. The listed phone number is (651) 232-7348.
What is Derrick Fenchel's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Derrick Fenchel enrolled in Medicare?
Yes. Derrick Fenchel is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Derrick Fenchel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Fenchel reassigns Medicare benefits to 4 organizations: Healtheast St. John's Hospital (Maplewood, MN), Allina Health System (Vadnais Heights, MN), Healtheast Woodwinds Hospital (Woodbury, MN) and Emergency Care Consultants, PA (Minneapolis, MN). Each 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 Derrick Fenchel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Derrick Fenchel was last updated on May 4, 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.
# Derrick D Fenchel, MD · NPI 1497040638
Emergency Medicine physician in Maplewood, Minnesota. Individual provider, active in the CMS NPPES registry since June 16, 2011.
## Identity
- **NPI:** 1497040638 (Entity type: Individual)
- **Enumerated:** June 16, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 55276 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1575 BEAM AVE, Maplewood, MN 55109-1126
- **Phone:** (651) 232-7348
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Healtheast St. John's Hospital (NPI 1447218482, Maplewood, MN); Allina Health System (NPI 1861798654, Vadnais Heights, MN); Healtheast Woodwinds Hospital (NPI 1356309322, Woodbury, MN); Emergency Care Consultants, PA (NPI 1669422788, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2021
- **Other identifiers:** Medicaid ENROLLED (IA); Medicaid ENROLLED (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1497040638) · Data from the CMS NPPES public registry.