MR. DEREK JASON BROCK CNP
NPI 1588094882
Nurse Practitioner - Family in Alliance, OH

Q: What is Derek Brock's NPI number?

The NPI number for Derek Brock is 1588094882. It was assigned to this individual provider in the NPPES registry on November 22, 2013.

Q: What is Derek Brock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Brock was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 22, 2013PECOS EnrolledAccepts Medicare Assignment

149 E SIMPSON ST, ALLIANCE, OH 44601(330) 823-3856(330) 829-6688 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Derek Jason Brock Cnp NPPES

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

MR. DEREK JASON BROCK CNP (NPI 1588094882) is an individual family provider in Alliance, Ohio, licensed in Ohio (COA.15415-NP) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS, is affiliated with Union Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1588094882

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. DEREK JASON BROCKCredential: CNP

Location Address149 E SIMPSON STAlliance, OH 44601-4219

Mailing AddressPo Box 932100Cleveland, OH 44193-0008 · (216) 472-2730 · Fax (216) 472-2740

Phone(330) 823-3856

Fax(330) 829-6688

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 22, 2013

Last NPPES UpdateJuly 1, 2015

✔ NPI 1588094882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · COA.15415-NP

149 E SIMPSON ST, Alliance, OH 44601

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Other Identifiers 2

Medicare PINH230142OH

Medicaid0095680OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mr. Derek Jason Brock Cnp 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 ID1456589191

PECOS Enrollment IDI20140102000589

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 3

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.

389 services308 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

46 services44 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union Hospital

Acute Care Hospitals · Dover, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360010

Location659 BoulevardDover, OH 44622 · Tuscarawas County

Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Canton, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360070

Location1320 Mercy Drive NWCanton, OH 44708 · Stark County

Emergency services Birthing friendly

Aultman Hospital

Acute Care Hospitals · Canton, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360084

Location2600 Sixth Street SWCanton, OH 44710 · Stark County

Emergency services Birthing friendly

Twin City Medical Center

Critical Access Hospitals · Dennison, OH

OwnershipVoluntary non-profit - Church

CMS Certification Number361302

Location819 North First StreetDennison, OH 44621 · Tuscarawas County

Emergency services

Aultman Orrville Hospital

Critical Access Hospitals · Orrville, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361323

Location832 South Main StreetOrrville, OH 44667 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44601 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers20 claims31 services$5.30 avg. paid by Medicare

Hospital bed, fixed height, with any type side rails, with mattress E0250

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$54.32 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers17 claims17 services$102.34 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$28.76 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. KATHLEEN HATHAWAY CNP

Nurse Practitioner (Family)