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

ASHLEY M. DERCK CNP
NPI 1851788244
Nurse Practitioner - Acute Care in Columbus, OH

Active since April 23, 2015PECOS EnrolledAccepts Medicare Assignment
410 W 10TH AVE, COLUMBUS, OH 43210(419) 890-9494(614) 293-4726 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Feb 1, 2021, Jun 20, 2016 (3 updates tracked since 2016).

About Ashley M. Derck Cnp NPPES

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

ASHLEY M. DERCK CNP (NPI 1851788244) is an individual acute care provider in Columbus, Ohio, licensed in Ohio (COA.17808-NP) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Upper Valley Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851788244
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameASHLEY M. DERCKCredential: CNP
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1309 · Fax (937) 522-8940
Fax(614) 293-4726
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 23, 2015
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1851788244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in OH · COA.17808-NP✔ Licensed in OH · RN.344302
410 W 10TH AVE, Columbus, OH 43210

Other Identifiers 1

Medicaid0141535OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley M. Derck Cnp 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 ID7012223209
PECOS Enrollment IDI20150902002520
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 Reassignments

4

Medicare enrollment records show Ashley Derck reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
100 KAHOE LN
Yellow Springs, OH 45387
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
Pulmonary Disease
1520 S MAIN ST STE 2
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 38 clinicians in this Medicare group
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
Nursing Care
1 SEAGATE, SUITE 1960
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 30 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
410 W 10TH AVE
COLUMBUS, OH 43210

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 Ashley Derck's NPI number?

The NPI number for Ashley Derck is 1851788244. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Ashley Derck located?

Ashley Derck practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (419) 890-9494.

What is Ashley Derck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ashley Derck enrolled in Medicare?

Yes. Ashley Derck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ashley Derck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Derck reassigns Medicare benefits to 4 organizations: Premier Health Specialists Inc (Yellow Springs, OH), Pulmonary & Critical Care Consultants, Inc (Dayton, OH), Kettering Independent Medical Group Inc (Miamisburg, OH) and Kingston Care Partners, LLC (Toledo, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Derck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Derck accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Ashley Derck 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.

Is Ashley Derck affiliated with any hospitals?

According to CMS data, Ashley Derck is affiliated with Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Ashley Derck was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.