GLENN HERNANDEZ DERIT APRN
NPI 1619571726
Nurse Practitioner - Family in Leesburg, FL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Glenn Derit reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Altoona, FL 32702
- Reassigned Medicare billing, Florida enrollment
- 53 clinicians in this Medicare group
San Marcos, CA 92069
- Reassigned Medicare billing, California enrollment
- 304 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.
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.
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.
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.
Which organizations bill Medicare for Glenn Derit's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Derit reassigns Medicare benefits to 2 organizations: Lowell F. Clark MD PA (Altoona, FL) and American Current Care Of California, A Medical Corporation (San Marcos, CA). 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 Glenn Derit'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 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.
# Glenn Hernandez Derit, APRN · NPI 1619571726
Family physician in Leesburg, Florida. Individual provider, active in the CMS NPPES registry since November 30, 2020.
## Identity
- **NPI:** 1619571726 (Entity type: Individual)
- **Enumerated:** November 30, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11010307 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2201 NICOLLETT WAY, Leesburg, FL 34748-2945
- **Phone:** (352) 360-8635
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lowell F. Clark MD PA (NPI 1326671256, Altoona, FL); American Current Care Of California, A Medical Corporation (NPI 1164611174, San Marcos, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1619571726) · Data from the CMS NPPES public registry.