JENNIFER DERRICKSON APRN
NPI 1538922323
Nurse Practitioner - Family in Mattoon, IL
About Jennifer Derrickson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER DERRICKSON APRN (NPI 1538922323) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209028677) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains a secondary practice location in Mattoon.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Jennifer Derrickson Aprn 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sarah Bush Lincoln Health Center
Acute Care Hospitals · Mattoon, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61938 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MATTOON, IL 61938
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 Jennifer Derrickson's NPI number?
The NPI number for Jennifer Derrickson is 1538922323. It was assigned to this individual provider in the NPPES registry on February 5, 2024. The provider is also known as Jennifer Shockley.
Where is Jennifer Derrickson located?
Jennifer Derrickson practices at 2512 Hurst Dr, Mattoon, IL 61938. The listed phone number is (217) 258-5900.
What is Jennifer Derrickson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Derrickson enrolled in Medicare?
Yes. Jennifer Derrickson 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.
Is Jennifer Derrickson affiliated with any hospitals?
According to CMS data, Jennifer Derrickson is affiliated with Sarah Bush Lincoln Health Center.
When was this NPI record last updated?
The NPPES record for Jennifer Derrickson was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Jennifer Derrickson, APRN · NPI 1538922323
Family physician in Mattoon, Illinois. Individual provider, active in the CMS NPPES registry since February 5, 2024.
## Identity
- **NPI:** 1538922323 (Entity type: Individual)
- **Enumerated:** February 5, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209028677 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2512 HURST DR, Mattoon, IL 61938-9200
- **Phone:** (217) 258-5900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1538922323) · Data from the CMS NPPES public registry.