GLENN HERNANDEZ DERIT APRN
NPI 1619571726
Nurse Practitioner - Family in Leesburg, FL

Active since November 30, 2020PECOS EnrolledAccepts Medicare Assignment
2201 NICOLLETT WAY, LEESBURG, FL 34748(352) 360-8635 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Glenn Hernandez Derit Aprn NPPES

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

GLENN HERNANDEZ DERIT APRN (NPI 1619571726) is an individual family provider in Leesburg, Florida, licensed in Florida (11010307) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619571726
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGLENN HERNANDEZ DERITCredential: APRN
Location Address2201 NICOLLETT WAYLeesburg, FL 34748-2945
Mailing Address2201 Nicollett WayLeesburg, FL 34748-2945 · (352) 360-8635
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
✔ NPI 1619571726 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 FL · 11010307
2201 NICOLLETT WAY, Leesburg, FL 34748

Accepted 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

Glenn Hernandez Derit 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 ID9537459284
PECOS Enrollment IDI20240416001869
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34748 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers19 claims21 services$18.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Glenn Derit's NPI number?

The NPI number for Glenn Derit is 1619571726. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Glenn Derit located?

Glenn Derit practices at 2201 Nicollett Way, Leesburg, FL 34748. The listed phone number is (352) 360-8635.

What is Glenn Derit's specialty?

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

Is Glenn Derit enrolled in Medicare?

Yes. Glenn Derit 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.

What insurance does Glenn Derit accept?

Health plans from Ambetter Health and Ambetter from Superior HealthPlan list Glenn Derit as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glenn Derit was last updated on November 30, 2020. 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.