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DEREK HUFFMAN NP
NPI 1861060600
Nurse Practitioner - Family in Burlington, NC

Active since June 17, 2021PECOS EnrolledAccepts Medicare Assignment
5270 UNION RIDGE RD, BURLINGTON, NC 27217(336) 421-3247 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 12, 2026, Nov 18, 2022, Jun 17, 2021 (3 updates tracked since 2021).

About Derek Huffman Np NPPES

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

DEREK HUFFMAN NP (NPI 1861060600) is an individual family provider in Burlington, North Carolina, licensed in North Carolina (5017163) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Alamance Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861060600
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDEREK HUFFMANCredential: NP
Location Address5270 UNION RIDGE RDBurlington, NC 27217-7594
Mailing Address5270 Union Ridge RdBurlington, NC 27217-7594
Phone(336) 421-3247
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 17, 2021
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1861060600 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 NC · 5017163
5270 UNION RIDGE RD, Burlington, NC 27217
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 and accepts Medicare assignment

Derek Huffman Np 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 ID5799140091
PECOS Enrollment IDI20230419003032
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 Derek Huffman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Zack Hall, MD PLLC
17 mi
Internal Medicine
217 TURNER DR STE F
Reidsville, NC 27320
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1003075219 (336) 342-6060

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 2

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

Alamance Regional Medical Center

Acute Care Hospitals · Burlington, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340070
Location1240 Huffman Mill RdBurlington, NC 27216 · Alamance County
Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27217 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 6

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

PIEDMONT HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
5270 UNION RIDGE RD
BURLINGTON, NC 27217
Alamance County (336) 421-3247
JAMIE LEIGH BURGESS-FLOWERS MSW, LCSWA
Social Worker (Clinical)
5270 UNION RIDGE RD
BURLINGTON, NC 27217
Alamance County (336) 421-3247
PIEDMONT HEALTH SERVICES, INC.
Pharmacy (Clinic Pharmacy)
5270 UNION RIDGE RD
BURLINGTON, NC 27217
Alamance County (336) 506-0588
ANN NEWMAN CHELMINSKI M.D.
Family Medicine
5270 UNION RIDGE RD
BURLINGTON, NC 27217
Alamance County (336) 421-3247
NETASHIA MICHELLE WILEY LCSWA
Social Worker (Clinical)
5270 UNION RIDGE RD
BURLINGTON, NC 27217
Alamance County (336) 421-3247
DR. ELENA MARIE ADAMO M.D., M.P.H.
Family Medicine
5270 UNION RIDGE RD
BURLINGTON, NC 27217
Alamance County (336) 421-3247

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 Huffman's NPI number?

The NPI number for Derek Huffman is 1861060600. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Derek Huffman located?

Derek Huffman practices at 5270 Union Ridge Rd, Burlington, NC 27217. The listed phone number is (336) 421-3247.

What is Derek Huffman's specialty?

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

Is Derek Huffman enrolled in Medicare?

Yes. Derek Huffman 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 organization bills Medicare for Derek Huffman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Huffman reassigns Medicare benefits to Zack Hall, MD PLLC (Reidsville, NC). The 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 Derek Huffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Huffman accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Derek Huffman 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 Derek Huffman affiliated with any hospitals?

According to CMS data, Derek Huffman is affiliated with Alamance Regional Medical Center and Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Derek Huffman was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.