Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSEN DEANNE MCCLEERY-DERRICK FNP
NPI 1811089899
Nurse Practitioner - Family in Fort Worth, TX

Q: What is Susen Mccleery-derrick's NPI number?

The NPI number for Susen Mccleery-derrick is 1811089899. It was assigned to this individual provider in the NPPES registry on September 28, 2006. The provider is also known as Susen Deanne Derrick.

Q: What is Susen Mccleery-derrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment

800 5TH AVE STE 400, FORT WORTH, TX 76104(817) 761-7740(817) 761-7742 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, Sep 28, 2015 (2 updates tracked since 2015).

On this page

About Susen Deanne Mccleery-derrick Fnp NPPES

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

SUSEN DEANNE MCCLEERY-DERRICK FNP (NPI 1811089899) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP128464) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and maintains a secondary practice location in Frisco.

NPPES Registry Identity

NPI1811089899

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSEN DEANNE MCCLEERY-DERRICKCredential: FNP

Location Address800 5TH AVE STE 400Fort Worth, TX 76104-7305

Mailing Address6065 Sports Village Rd, Suite 600Frisco, TX 75033-3523 · (214) 705-7390 · Fax (214) 705-7393

Phone(817) 761-7740

Fax(817) 761-7742

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 28, 2006

Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1811089899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP128464

800 5TH AVE STE 400, Fort Worth, TX 76104

Open in Google Maps ↗

Other Names 1

Former Name (1)Susen Deanne Derrick

Secondary Practice Location 1

Location 16065 Sports Village Rd, Suite 600Frisco, TX 75033-3523 · Phone (214) 705-7390 · Fax (214) 705-7393

Other Identifiers 1

Medicaid1568073TX

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susen Deanne Mccleery-derrick 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.

PECOS PAC ID3072821891

PECOS Enrollment IDI20150929000219

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450135

Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Medical City Denton

Acute Care Hospitals · Denton, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450634

Location3535 South I35 EastDenton, TX 76210 · Denton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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 5

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

TRAVIS A MOTLEY DPM

Podiatrist