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DEREK ILG
NPI 1699531954
Nurse Practitioner in Lowell, MA

Active since February 26, 2024
295 VARNUM AVE, LOWELL, MA 01854(978) 937-6237 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Ilg NPPES

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

DEREK ILG (NPI 1699531954) is an individual nurse practitioner in Lowell, Massachusetts, licensed in Massachusetts (265820) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1699531954
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDEREK ILG
Location Address295 VARNUM AVELowell, MA 01854-2134
Mailing Address7 Needham StNorth Chelmsford, MA 01863-1637 · (978) 337-2450
Phone(978) 937-6237
Sole ProprietorNo
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 24, 2024
✔ NPI 1699531954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 265820
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
295 VARNUM AVE, Lowell, MA 01854
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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.

RAVI KRISHNA MURTHY MD
Emergency Medicine
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6161
NICOLE FLAHERTY
Nurse Practitioner (Pediatrics)
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000
MRS. JULIE FRANCES VERGADOS SIMONEAU
Nurse Practitioner
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6088
KELLY SURABIAN
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000
MISS MICHELLE MUKASA PA-C
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6439
DR. SUFYAN A SHEIKH MD
Anesthesiology
295 VARNUM AVE, ANESTHETICS OF LOWELL, PC
LOWELL, MA 01854
Middlesex County (978) 454-0941
DR. CYNTHIA LYNN MANNING M.D.
Hospitalist
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6439
JULIEANN DUONG PA-C
Physician Assistant (Medical)
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000

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 Derek Ilg's NPI number?

The NPI number for Derek Ilg is 1699531954. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Derek Ilg located?

Derek Ilg practices at 295 Varnum Ave, Lowell, MA 01854. The listed phone number is (978) 937-6237.

What is Derek Ilg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Derek Ilg was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.