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DEREK DICAMILLO FNP-C
NPI 1972105542
Nurse Practitioner - Family in Phoenix, AZ

Active since November 09, 2020PECOS Enrolled
14631 N CAVE CREEK RD, PHOENIX, AZ 85022(623) 624-7425(623) 624-7158 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Nov 22, 2020, Nov 9, 2020 (3 updates tracked since 2020).

About Derek Dicamillo Fnp-c NPPES

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

DEREK DICAMILLO FNP-C (NPI 1972105542) is an individual family provider in Phoenix, Arizona, licensed in Arizona (249881) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972105542
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDEREK DICAMILLOCredential: FNP-C
Location Address14631 N CAVE CREEK RDPhoenix, AZ 85022-4159
Mailing Address14631 N Cave Creek RdPhoenix, AZ 85022-4159 · (623) 624-7425 · Fax (623) 624-7158
Phone(623) 624-7425
Fax(623) 624-7158
Sole ProprietorYes
Enumeration DateNovember 9, 2020
Last NPPES UpdateFebruary 19, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1972105542 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 AZ · 249881
14631 N CAVE CREEK RD, Phoenix, AZ 85022
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Dicamillo Fnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85022 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

CHRISTINA WOHLFORTH NP
Nurse Practitioner (Family)
14631 N CAVE CREEK RD
PHOENIX, AZ 85022
Maricopa County (855) 434-7763

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 Dicamillo's NPI number?

The NPI number for Derek Dicamillo is 1972105542. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Where is Derek Dicamillo located?

Derek Dicamillo practices at 14631 N Cave Creek Rd, Phoenix, AZ 85022. The listed phone number is (623) 624-7425.

What is Derek Dicamillo's specialty?

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

Is Derek Dicamillo enrolled in Medicare?

Yes. Derek Dicamillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Dicamillo was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.