RICHARD L DERRICK CRNA
NPI 1649803172
Nurse Anesthetist, Certified Registered in Portland, ME
About Richard L Derrick Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD L DERRICK CRNA (NPI 1649803172) is an individual nurse anesthetist, certified registered in Portland, Maine, licensed in Utah (9639260-4406) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Accepted Insurance
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
Richard L Derrick Crna 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
7Medicare enrollment records show Richard Derrick reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls Church, VA 22042
- Reassigned Medicare billing, Virginia enrollment
- 1,217 clinicians in this Medicare group
Fredericksburg, VA 22401
- Reassigned Medicare billing, Virginia enrollment
- 186 clinicians in this Medicare group
Virginia Beach, VA 23456
- Reassigned Medicare billing, Virginia enrollment
- 707 clinicians in this Medicare group
Farmville, VA 23901
- Reassigned Medicare billing, Virginia enrollment
- 757 clinicians in this Medicare group
St George, UT 84790
- Reassigned Medicare billing, Utah enrollment
- 21 clinicians in this Medicare group
St George, UT 84790
- Reassigned Medicare billing, Utah enrollment
- 34 clinicians in this Medicare group
St George, UT 84770
- Reassigned Medicare billing, Utah enrollment
- 4 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mary Washington Hospital
Acute Care Hospitals · Fredericksburg, VAStafford Hospital, LLC
Acute Care Hospitals · Stafford, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PORTLAND, ME 04102
PORTLAND, ME 04102
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 Richard Derrick's NPI number?
The NPI number for Richard Derrick is 1649803172. It was assigned to this individual provider in the NPPES registry on February 12, 2020.
Where is Richard Derrick located?
Richard Derrick practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2526.
What is Richard Derrick's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Richard Derrick enrolled in Medicare?
Yes. Richard Derrick 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 Richard Derrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Derrick reassigns Medicare benefits to 7 organizations: American Anesthesiology Of Virginia PC (Falls Church, VA), Mary Washington Healthcare Specialty Services LLC (Fredericksburg, VA), Smg Anesthesia Specialists LLC (Virginia Beach, VA), Centra Medical Group. LLC (Farmville, VA), Vaughn Jones Anesthesia LLC (St George, UT) and 2 more organizations, listed in the Medicare section above. 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 Richard Derrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Derrick accept?
Health plans from Oscar Insurance Company list Richard Derrick 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.
Is Richard Derrick affiliated with any hospitals?
According to CMS data, Richard Derrick is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.
When was this NPI record last updated?
The NPPES record for Richard Derrick was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Richard L Derrick, CRNA · NPI 1649803172
Nurse Anesthetist, Certified Registered physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since February 12, 2020.
## Identity
- **NPI:** 1649803172 (Entity type: Individual)
- **Enumerated:** February 12, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 9639260-4406 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 BRAMHALL ST, Portland, ME 04102-3175
- **Phone:** (207) 662-2526
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): American Anesthesiology Of Virginia PC (NPI 1417994872, Falls Church, VA); Mary Washington Healthcare Specialty Services LLC (NPI 1821033010, Fredericksburg, VA); Smg Anesthesia Specialists LLC (NPI 1518205004, Virginia Beach, VA); Centra Medical Group. LLC (NPI 1336638865, Farmville, VA); Vaughn Jones Anesthesia LLC (NPI 1326424391, St George, UT); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649803172) · Data from the CMS NPPES public registry.