MRS. KATHY DERRICK FNP-BC
NPI 1689082174
Nurse Practitioner - Family in Gilbert, AZ
About Mrs. Kathy Derrick Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KATHY DERRICK FNP-BC (NPI 1689082174) is an individual family provider in Gilbert, Arizona, licensed in Illinois (209011668) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mrs. Kathy Derrick Fnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85295 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
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 Kathy Derrick's NPI number?
The NPI number for Kathy Derrick is 1689082174. It was assigned to this individual provider in the NPPES registry on July 28, 2014.
Where is Kathy Derrick located?
Kathy Derrick practices at 1760 E Pecos Rd Ste 102, Gilbert, AZ 85295. The listed phone number is (480) 690-8412.
What is Kathy Derrick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathy Derrick enrolled in Medicare?
Yes. Kathy 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.
What insurance does Kathy Derrick accept?
Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Kathy 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.
When was this NPI record last updated?
The NPPES record for Kathy Derrick was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Kathy Derrick, FNP-BC · NPI 1689082174
Family physician in Gilbert, Arizona. Individual provider, active in the CMS NPPES registry since July 28, 2014.
## Identity
- **NPI:** 1689082174 (Entity type: Individual)
- **Enumerated:** July 28, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209011668 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1760 E PECOS RD STE 102, Gilbert, AZ 85295-3201
- **Phone:** (480) 690-8412
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689082174) · Data from the CMS NPPES public registry.