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SHAWN DERBY
NPI 1972390649
Nurse Practitioner in Great Falls, MT

Active since April 24, 2025PECOS EnrolledAccepts Medicare Assignment
1101 26TH ST S, GREAT FALLS, MT 59405(406) 455-5200 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2025, Aug 14, 2025 (2 updates tracked since 2025).

About Shawn Derby NPPES

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

SHAWN DERBY (NPI 1972390649) is an individual nurse practitioner in Great Falls, Montana, licensed in Montana (NUR-APRN-LIC-266796) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of University Of South Alabama College Of Medicine (2025).

NPPES Registry Identity

NPI1972390649
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSHAWN DERBY
Location Address1101 26TH ST SGreat Falls, MT 59405-5161
Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 455-5000
Phone(406) 455-5200
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2025
Enumeration DateApril 24, 2025
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1972390649 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 MT · NUR-APRN-LIC-266796
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 NurseTaxonomy 163W00000X · License RN-69776 (MT)
1101 26TH ST S, Great Falls, MT 59405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.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

Shawn Derby 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 ID4385149152
PECOS Enrollment IDI20250923003539
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 Shawn Derby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Benefis Hospitals, Inc.
Same address
General Acute Care Hospital
1101 26TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
NPI 1881650737 (406) 455-5000

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.

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

OMER USMAN MD
Hospitalist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
EDMUND J BRENNAN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
MRS. DELENE R LYNES OTA
Occupational Therapy Assistant
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5412
SHELBY ELIZABETH DUFOUR PHARMD
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 771-6300
DANIEL KNUFFKE
Occupational Therapist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 781-1305
KRISTIN HUNTOON D.O, PHD
Neurological Surgery
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
PATRICK HUGH SMITH FNP-BC
Nurse Practitioner (Family)
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
DR. SAMANTHA ANNE BASCO PHARMD
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5430

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 Shawn Derby's NPI number?

The NPI number for Shawn Derby is 1972390649. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Shawn Derby located?

Shawn Derby practices at 1101 26th St S, Great Falls, MT 59405. The listed phone number is (406) 455-5200.

What is Shawn Derby's specialty?

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

Is Shawn Derby enrolled in Medicare?

Yes. Shawn Derby 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 Shawn Derby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Derby reassigns Medicare benefits to Benefis Hospitals, Inc. (Great Falls, MT). 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 Shawn Derby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Derby accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Shawn Derby 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 Shawn Derby affiliated with any hospitals?

According to CMS data, Shawn Derby is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Shawn Derby was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.