MRS. KIWANA N DERRICK RN, AGNP-C
NPI 1871105320
Nurse Practitioner in Shelbyville, TN

Q: What is Kiwana Derrick's NPI number?

The NPI number for Kiwana Derrick is 1871105320. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Q: What is Kiwana Derrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kiwana Derrick was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 17, 2020PECOS Enrolled

835 UNION ST, SHELBYVILLE, TN 37160(931) 680-2300 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2026, Jan 12, 2022, Aug 21, 2021 and 2 more (5 updates tracked since 2020).

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About Mrs. Kiwana N Derrick Rn, Agnp-c NPPES

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

MRS. KIWANA N DERRICK RN, AGNP-C (NPI 1871105320) is an individual nurse practitioner in Shelbyville, Tennessee, licensed in Tennessee (APN0000028011) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871105320

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KIWANA N DERRICKCredential: RN, AGNP-C

Location Address835 UNION STShelbyville, TN 37160-2607

Mailing AddressPo Box 2182Lewisburg, TN 37091-1182 · (931) 652-2521

Phone(931) 680-2300

Sole ProprietorYes

Enumeration DateAugust 17, 2020

Last NPPES UpdateMay 4, 20265 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1871105320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · APN0000028011

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License 196202 (TN)

835 UNION ST, Shelbyville, TN 37160

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kiwana N Derrick Rn, Agnp-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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

42 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37160 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers12 claims12 services$30.01 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

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