MRS. AMY RENEE DERRY FNP-C
NPI 1932502994
Family Medicine in Columbia, SC

Active since October 06, 2014Opted out of Medicare · through Jul 24, 2027
612 SAINT ANDREWS RD STE 2, COLUMBIA, SC 29210(803) 386-8684 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Amy Renee Derry Fnp-c NPPES

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

MRS. AMY RENEE DERRY FNP-C (NPI 1932502994) is an individual family medicine provider in Columbia, South Carolina, licensed in South Carolina (29149) and active in the NPI registry since October 2014. She has opted out of Medicare through July 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932502994
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. AMY RENEE DERRYCredential: FNP-C
Location Address612 SAINT ANDREWS RD STE 2Columbia, SC 29210-5120
Mailing Address612 Saint Andrews Rd Ste 2Columbia, SC 29210-5120 · (803) 386-8684
Sole ProprietorNo
Enumeration DateOctober 6, 2014
Last NPPES UpdateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
NPI 1932502994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 29149
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
612 SAINT ANDREWS RD STE 2, Columbia, SC 29210

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Amy Renee Derry Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 24, 2025 through July 24, 2027.

Opt-Out Effective DateJuly 24, 2025
Opt-Out In Effect ThroughJuly 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29210 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 3

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

Physician Assistant (Medical)
612 SAINT ANDREWS RD STE 2
COLUMBIA, SC 29210
Nurse Practitioner (Pediatrics)
612 SAINT ANDREWS RD STE 2
COLUMBIA, SC 29210
Health and Wellness Coach
612 SAINT ANDREWS RD STE 2
COLUMBIA, SC 29210

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 Amy Derry's NPI number?

The NPI number for Amy Derry is 1932502994. It was assigned to this individual provider in the NPPES registry on October 6, 2014.

Where is Amy Derry located?

Amy Derry practices at 612 Saint Andrews Rd Ste 2, Columbia, SC 29210. The listed phone number is (803) 386-8684.

What is Amy Derry's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amy Derry enrolled in Medicare?

No. Amy Derry has opted out of Medicare through July 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Amy Derry accept?

Health plans from BlueCross BlueShield of South Carolina list Amy Derry 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 Amy Derry was last updated on August 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.