DERICA PEREZ APPMHNP
NPI 1730554890
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Q: What is Derica Perez's NPI number?

The NPI number for Derica Perez is 1730554890. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Q: What is Derica Perez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Derica Perez was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 01, 2015PECOS Enrolled

4645 SAMUELL BLVD, DALLAS, TX 75228(214) 275-7393 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2021, Feb 11, 2016, Dec 1, 2015 (3 updates tracked since 2015).

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About Derica Perez Appmhnp NPPES

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

DERICA PEREZ APPMHNP (NPI 1730554890) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (AP130069) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730554890

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDERICA PEREZCredential: APPMHNP

Location Address4645 SAMUELL BLVDDallas, TX 75228-6826

Mailing Address4645 Samuell BlvdDallas, TX 75228-6826 · (214) 275-7393

Phone(214) 275-7393

Sole ProprietorNo

Enumeration DateDecember 1, 2015

Last NPPES UpdateMarch 4, 20213 updates tracked since enumeration

NPPES CertifiedMarch 4, 2021

✔ NPI 1730554890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · AP130069

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4645 SAMUELL BLVD, Dallas, TX 75228

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derica Perez Appmhnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Derica Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

1,107 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Texas enrollment
1,573 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75228 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 20

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

PIN-HSUAN HUANG

Counselor (Mental Health)