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MS. SUSAN M DERIVAS CNP
NPI 1851493829
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID

Active since September 01, 2006PECOS Enrolled
4055 E BLUEBERRY ST, MERIDIAN, ID 83642(208) 775-7418(208) 647-5008 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2024, Jun 13, 2020, May 19, 2016 (3 updates tracked since 2016).

About Ms. Susan M Derivas Cnp NPPES

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

MS. SUSAN M DERIVAS CNP (NPI 1851493829) is an individual psychiatric/mental health provider in Meridian, Idaho, licensed in Idaho (64266) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851493829
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SUSAN M DERIVASCredential: CNP
Location Address4055 E BLUEBERRY STMeridian, ID 83642-8261
Mailing Address4055 E Blueberry StMeridian, ID 83642-8261 · (208) 775-7418 · Fax (208) 674-5008
Phone(208) 775-7418
Fax(208) 647-5008
Sole ProprietorYes
Enumeration DateSeptember 1, 2006
Last NPPES UpdateFebruary 7, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1851493829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 64266
4055 E BLUEBERRY ST, Meridian, ID 83642
Open in Google Maps ↗

Other Identifiers 9

Other208-775-7418Spruce Health
Medicaid1032026ID
Other5708247ID · Evernorth
Other932434Availity Id
Other0062-0104069United Healthcare Services, Provider No.
Other13961493Caqh Provider Id
Other909072Change Healthcare Submitter Id
Other1851493829Clozapine Rems Certified
Other396453Master Billing Id (osmind)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

Ms. Susan M Derivas Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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

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

TELEMENTAL HEALTH LINK LLC
Nurse Practitioner (Psychiatric/Mental Health)
4055 E BLUEBERRY ST
MERIDIAN, ID 83642
Ada County (208) 775-7418

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 Susan Derivas's NPI number?

The NPI number for Susan Derivas is 1851493829. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Susan Derivas located?

Susan Derivas practices at 4055 E Blueberry St, Meridian, ID 83642. The listed phone number is (208) 775-7418.

What is Susan Derivas's specialty?

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

Is Susan Derivas enrolled in Medicare?

Yes. Susan Derivas is registered in the Medicare PECOS enrollment system.

What insurance does Susan Derivas accept?

Health plans from Moda Health Plan, Inc. list Susan Derivas 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 Susan Derivas was last updated on February 7, 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.