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NICOLE L DERRICK PA-C
NPI 1700953882
Physician Assistant in Ann Arbor, MI

Active since November 30, 2006PECOS Enrolled
1500 E MEDICAL CENTER DRIVE, B1 FLOOR UNIVERSITY HOSPOTAL RECP EMERGENCY, ANN ARBOR, MI 48109(734) 936-6666 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole L Derrick Pa-c NPPES

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

NICOLE L DERRICK PA-C (NPI 1700953882) is an individual physician assistant in Ann Arbor, Michigan, licensed in Michigan (5601003849) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700953882
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE L DERRICKCredential: PA-C
Location Address1500 E MEDICAL CENTER DRIVE, B1 FLOOR UNIVERSITY HOSPOTAL RECP EMERGENCYAnn Arbor, MI 48109-5301
Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Phone(734) 936-6666
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1700953882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601003849
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 5601003849 (MI)
1500 E MEDICAL CENTER DRIVE, Ann Arbor, MI 48109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole L Derrick Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 20

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

MEGHAN HORN M.D.
Anesthesiology
1500 E MEDICAL CENTER DRIVE, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4280
KEERTHI BURGI MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5331
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5738
ASMA NUSRAT M.D.
Pathology (Anatomic Pathology)
1500 E MEDICAL CENTER DRIVE, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Washtenaw County (800) 862-7284
MONICA G BARRY APRN,NP
Nurse Practitioner
1500 E MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KYLEE E PHILLIPS MD
Emergency Medicine
1500 E MEDICAL CENTER DRIVE, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
RENEE ANN SHEA CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DRIVE, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4280
ABHINAV NAFDAY
Emergency Medicine
1500 E MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Washtenaw County (734) 763-7919
BARBARA ROSE VAN KAINEN CNM
Advanced Practice Midwife
1500 E MEDICAL CENTER DRIVE, VON VOIGTLANDER WOMEN'S HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000

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 Nicole Derrick's NPI number?

The NPI number for Nicole Derrick is 1700953882. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Nicole Derrick located?

Nicole Derrick practices at 1500 E Medical Center Drive B1 Floor University Hospotal Recp Emergency, Ann Arbor, MI 48109. The listed phone number is (734) 936-6666.

What is Nicole Derrick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Derrick enrolled in Medicare?

Yes. Nicole Derrick is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Derrick accept?

Health plans from McLaren Health Plan Community and Priority Health list Nicole 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 Nicole Derrick was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.