CORINA CLARK-DERMAN FNP
NPI 1669734778
Nurse Practitioner - Family in Albany, CA
About Corina Clark-derman Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORINA CLARK-DERMAN FNP (NPI 1669734778) is an individual family provider in Albany, California, licensed in California (21609) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
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
Corina Clark-derman Fnp 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 Corina Clark-derman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orinda, CA 94563
- Reassigned Medicare billing, California enrollment
- 4,479 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94706 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.
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 Corina Clark-derman's NPI number?
The NPI number for Corina Clark-derman is 1669734778. It was assigned to this individual provider in the NPPES registry on June 14, 2012.
Where is Corina Clark-derman located?
Corina Clark-derman practices at 500 San Pablo Ave, Albany, CA 94706. The listed phone number is (510) 204-8130.
What is Corina Clark-derman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Corina Clark-derman enrolled in Medicare?
Yes. Corina Clark-derman 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 Corina Clark-derman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Corina Clark-derman reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). 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 Corina Clark-derman'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 Corina Clark-derman was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Corina Clark-Derman, FNP · NPI 1669734778
Family physician in Albany, California. Individual provider, active in the CMS NPPES registry since June 14, 2012.
## Identity
- **NPI:** 1669734778 (Entity type: Individual)
- **Enumerated:** June 14, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 21609 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 SAN PABLO AVE, Albany, CA 94706-1103
- **Phone:** (510) 204-8130
## 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:** Sutter Bay Medical Foundation (NPI 1366898538, Orinda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 16, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1669734778) · Data from the CMS NPPES public registry.