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MR. DEREK NELSON PA-C
NPI 1821370685
Physician Assistant - Medical in Orange City, FL

Active since September 16, 2011PECOS Enrolled
86.28/100
CMS Quality Rating
1055 SAXON BLVD, ORANGE CITY, FL 32763(386) 917-5000 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Derek Nelson Pa-c NPPES

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

MR. DEREK NELSON PA-C (NPI 1821370685) is an individual medical provider in Orange City, Florida, licensed in Florida (PA9106084) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821370685
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DEREK NELSONCredential: PA-C
Location Address1055 SAXON BLVDOrange City, FL 32763-8468
Mailing Address4440 River Bottom DrNorcross, GA 30092-1364
Phone(386) 917-5000
Sole ProprietorNo
Enumeration DateSeptember 16, 2011
Last NPPES UpdateJanuary 11, 2013
✔ NPI 1821370685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9106084
1055 SAXON BLVD, Orange City, FL 32763
Open in Google Maps ↗

Other Identifiers 2

Medicaid0042720-00FL
Medicare PINFP693YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Mr. Derek Nelson 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
20 services20 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.19
Promoting Interoperability100
Improvement Activities40

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.

CE BUNNELL & ASSOCIATES PLLC
Pathology (Anatomic Pathology & Clinical Pathology)
1055 SAXON BLVD, DEPT. OF PATHOLOGY
ORANGE CITY, FL 32763
Volusia County (386) 851-5000
PEDRO N. YEPES-HOYOS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1055 SAXON BLVD, DEPT. OF PATHOLOGY
ORANGE CITY, FL 32763
Volusia County (386) 851-5000
MARIO H. ALVARADO M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1055 SAXON BLVD, DEPT. OF PATHOLOGY
ORANGE CITY, FL 32763
Volusia County (386) 851-5000
CHARLES EDWARD BUNNELL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1055 SAXON BLVD, DEPT. OF PATHOLOGY
ORANGE CITY, FL 32763
Volusia County (386) 651-5000
GERTRUDE C BIRKHAHN
Radiology (Diagnostic Radiology)
1055 SAXON BLVD
ORANGE CITY, FL 32763
Volusia County (386) 917-5110
SANTA ROSA DE LIMA MEDICAL PA
Specialist
1055 SAXON BLVD
ORANGE CITY, FL 32763
Volusia County (407) 268-5415
CHARLES DANIEL DUVA MD
Emergency Medicine
1055 SAXON BLVD
ORANGE CITY, FL 32763
Volusia County (386) 943-4522
WILLIAM MICHAEL SAWKO MD
Emergency Medicine (Emergency Medical Services)
1055 SAXON BLVD
ORANGE CITY, FL 32763
Volusia County (386) 943-4522

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 Nelson's NPI number?

The NPI number for Derek Nelson is 1821370685. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Where is Derek Nelson located?

Derek Nelson practices at 1055 Saxon Blvd, Orange City, FL 32763. The listed phone number is (386) 917-5000.

What is Derek Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Derek Nelson enrolled in Medicare?

Yes. Derek Nelson is registered in the Medicare PECOS enrollment system.

What insurance does Derek Nelson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Derek Nelson 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 Derek Nelson was last updated on January 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.