DR. MARILYN M. DERIDDER APRN
NPI 1548748858
Nurse Practitioner - Acute Care in Anaheim, CA

Active since July 30, 2018PECOS EnrolledAccepts Medicare Assignment
1211 W LA PALMA AVE STE 404, ANAHEIM, CA 92801(714) 772-8282(714) 772-6493 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2023, Jul 30, 2018 (2 updates tracked since 2018).

About Dr. Marilyn M. Deridder Aprn NPPES

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

DR. MARILYN M. DERIDDER APRN (NPI 1548748858) is an individual acute care provider in Anaheim, California, licensed in California (MD5036175) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548748858
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDR. MARILYN M. DERIDDERCredential: APRN
Location Address1211 W LA PALMA AVE STE 404Anaheim, CA 92801-2806
Mailing Address751 S Weir Canyon Rd Ste 328Anaheim, CA 92808-1962 · (714) 280-1495
Fax(714) 772-6493
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 30, 2018
Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
NPI 1548748858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in CA · MD5036175
Also ListedNurse PractitionerTaxonomy 363L00000X · License MD5036175 (CA)
1211 W LA PALMA AVE STE 404, Anaheim, CA 92801

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Marilyn M. Deridder 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.

PECOS PAC ID2365781598
PECOS Enrollment IDI20190305001951
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
68 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92801 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

Internal Medicine
1211 W LA PALMA AVE STE 404
ANAHEIM, CA 92801
Internal Medicine
1211 W LA PALMA AVE STE 404
ANAHEIM, CA 92801
Hospitalist
1211 W LA PALMA AVE STE 404
ANAHEIM, CA 92801
Nurse Practitioner (Family)
1211 W LA PALMA AVE STE 404
ANAHEIM, CA 92801
Nurse Practitioner (Acute Care)
1211 W LA PALMA AVE STE 404
ANAHEIM, CA 92801
Hospitalist
1211 W LA PALMA AVE STE 404
ANAHEIM, CA 92801
Internal Medicine
1211 W LA PALMA AVE STE 404
ANAHEIM, CA 92801
Nurse Practitioner (Family)
1211 W LA PALMA AVE STE 404
ANAHEIM, CA 92801

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 Marilyn Deridder's NPI number?

The NPI number for Marilyn Deridder is 1548748858. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Where is Marilyn Deridder located?

Marilyn Deridder practices at 1211 W La Palma Ave Ste 404, Anaheim, CA 92801. The listed phone number is (714) 772-8282.

What is Marilyn Deridder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Marilyn Deridder enrolled in Medicare?

Yes. Marilyn Deridder 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.

When was this NPI record last updated?

The NPPES record for Marilyn Deridder was last updated on January 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.