LAUREN C DERRICK NP
NPI 1669470951
Nurse Practitioner - Adult Health in Liverpool, NY

Q: What is Lauren Derrick's NPI number?

The NPI number for Lauren Derrick is 1669470951. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Q: What is Lauren Derrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Derrick was last updated on September 26, 2019. 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.

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment

5112 W TAFT RD STE J, LIVERPOOL, NY 13088(315) 701-2170(315) 701-2185 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Lauren C Derrick Np NPPES

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

LAUREN C DERRICK NP (NPI 1669470951) is an individual adult health provider in Liverpool, New York, licensed in New York (301621) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1669470951

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameLAUREN C DERRICKCredential: NP

Location Address5112 W TAFT RD STE JLiverpool, NY 13088-4866

Mailing Address510 Towne DrFayetteville, NY 13066-1331 · (315) 663-0500 · Fax (315) 663-0514

Phone(315) 701-2170

Fax(315) 701-2185

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 11, 2005

Last NPPES UpdateSeptember 26, 2019

✔ NPI 1669470951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 301621

5112 W TAFT RD STE J, Liverpool, NY 13088

Open in Google Maps ↗

Other Identifiers 1

Medicaid01980230NY

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

Lauren C Derrick Np 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 ID5193784262

PECOS Enrollment IDI20041005000580

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

219 services139 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

161 services138 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

59 services56 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Oswego Hospital

Acute Care Hospitals · Oswego, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330218

Location110 West Sixth StreetOswego, NY 13126 · Oswego County

Emergency services Birthing friendly

Auburn Community Hospital

Acute Care Hospitals · Auburn, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330235

Location17 Lansing StreetAuburn, NY 13021 · Cayuga County

Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330241

Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE L. DEPALMO NP

Nurse Practitioner (Family)