DEREK GLENN BRUBAKER
NPI 1629680889
Nurse Practitioner - Family in Lancaster, PA
About Derek Glenn Brubaker NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK GLENN BRUBAKER (NPI 1629680889) is an individual family provider in Lancaster, Pennsylvania, licensed in Pennsylvania (SP022377) and active in the NPI registry since August 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
Derek Glenn Brubaker 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 Reassignment
Medicare enrollment records show Derek Brubaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, PA 17602
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1154331775 (Pennsylvania)
- 20 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 17602 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANCASTER, PA 17602
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 Derek Brubaker's NPI number?
The NPI number for Derek Brubaker is 1629680889. It was assigned to this individual provider in the NPPES registry on August 19, 2020.
Where is Derek Brubaker located?
Derek Brubaker practices at 555 N Duke St, Lancaster, PA 17602. The listed phone number is (717) 544-4995.
What is Derek Brubaker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Derek Brubaker enrolled in Medicare?
Yes. Derek Brubaker 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 organization bills Medicare for Derek Brubaker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Brubaker reassigns Medicare benefits to Lancaster General Hospital (Lancaster, PA). The 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 Derek Brubaker'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 Derek Brubaker was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Derek Glenn Brubaker · NPI 1629680889
Family physician in Lancaster, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 19, 2020.
## Identity
- **NPI:** 1629680889 (Entity type: Individual)
- **Enumerated:** August 19, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP022377 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 555 N DUKE ST, Lancaster, PA 17602-2250
- **Phone:** (717) 544-4995
## 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:** Lancaster General Hospital (NPI 1598038804, Lancaster, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629680889) · Data from the CMS NPPES public registry.