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KAITLIN DERKS NP
NPI 1649743766
Nurse Practitioner - Family in Grand Rapids, MI

Active since January 11, 2019PECOS Enrolled
89.89/100
CMS Quality Rating
145 MICHIGAN ST NE STE 3100, GRAND RAPIDS, MI 49503(616) 954-9800 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2020, Jan 11, 2019 (2 updates tracked since 2019).

About Kaitlin Derks Np NPPES

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

KAITLIN DERKS NP (NPI 1649743766) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704339488) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649743766
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLIN DERKSCredential: NP
Location Address145 MICHIGAN ST NE STE 3100Grand Rapids, MI 49503-2563
Mailing Address5800 Foremost Dr Se Ste 300Grand Rapids, MI 49546-7062 · (616) 954-9800
Phone(616) 954-9800
Sole ProprietorNo
Enumeration DateJanuary 11, 2019
Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1649743766 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 MI · 4704339488
145 MICHIGAN ST NE STE 3100, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Names 1

Former Name (1)Kaitlin Graves

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Derks Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kaitlin Derks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cancer & Hematology Centers Of Western Mi, P.C.
Same address
Specialist
145 MICHIGAN ST NE STE 3100
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 104 clinicians in this Medicare group
NPI 1528018389 (616) 954-9800
Spectrum Health Hospitals
0.1 mi
Hospitalist
100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 405 clinicians in this Medicare group
NPI 1558407189 (616) 774-7377

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 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.75
Promoting Interoperability98
Improvement Activities40

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.

MELISA MCKENDRY RPH
Pharmacist
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Kent County (616) 977-4864
MIRANDA IACOPELLI NP
Nurse Practitioner
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Kent County (616) 954-9800
LATHA SREE POLAVARAM MD
Internal Medicine (Hematology & Oncology)
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Kent County (616) 954-9800
MARGARET E TOL NP
Nurse Practitioner (Family)
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Kent County (616) 954-9800
KAROLE LYNN MURPHY NP
Nurse Practitioner (Family)
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Kent County (616) 954-9800
DANA M PIGORSH PA-C
Physician Assistant (Medical)
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Kent County (616) 954-9800
KIMBERLY ANN MELGAREJO PHARMD
Pharmacist
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Kent County (616) 954-9800
JOSEPH WILLIAM ZUEHL PHARMD
Pharmacist
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Kent County (616) 977-4852

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 Kaitlin Derks's NPI number?

The NPI number for Kaitlin Derks is 1649743766. It was assigned to this individual provider in the NPPES registry on January 11, 2019. The provider is also known as Kaitlin Graves.

Where is Kaitlin Derks located?

Kaitlin Derks practices at 145 Michigan St NE Ste 3100, Grand Rapids, MI 49503. The listed phone number is (616) 954-9800.

What is Kaitlin Derks's specialty?

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

Is Kaitlin Derks enrolled in Medicare?

Yes. Kaitlin Derks is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kaitlin Derks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Derks reassigns Medicare benefits to 2 organizations: Cancer & Hematology Centers Of Western Mi, P.C. (Grand Rapids, MI) and Spectrum Health Hospitals (Grand Rapids, MI). 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 Kaitlin Derks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlin Derks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Kaitlin Derks 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 Kaitlin Derks was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.