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DERRICK MEADOW APRN, PMHNP-BC, CNL
NPI 1992338719
Nurse Practitioner - Psychiatric/Mental Health in Cordova, TN

Active since February 20, 2020PECOS EnrolledAccepts Medicare Assignment
8130 COUNTRY VILLAGE DR STE 103, CORDOVA, TN 38016(901) 308-2915(901) 308-2924 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2023, Feb 20, 2020 (2 updates tracked since 2020).

About Derrick Meadow Aprn, Pmhnp-bc, Cnl NPPES

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

DERRICK MEADOW APRN, PMHNP-BC, CNL (NPI 1992338719) is an individual psychiatric/mental health provider in Cordova, Tennessee, licensed in Mississippi (903854) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992338719
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDERRICK MEADOWCredential: APRN, PMHNP-BC, CNL
Location Address8130 COUNTRY VILLAGE DR STE 103Cordova, TN 38016-2087
Mailing Address8130 Country Village Dr Ste 102Cordova, TN 38016-2087 · (901) 308-2915 · Fax (901) 308-2924
Phone(901) 308-2915
Fax(901) 308-2924
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 20, 2020
Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration
NPPES CertifiedAugust 1, 2023
✔ NPI 1992338719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 903854
8130 COUNTRY VILLAGE DR STE 103, Cordova, TN 38016
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Other Identifiers 2

Medicaid2C6508MS
MedicaidT871106HTN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derrick Meadow Aprn, Pmhnp-bc, Cnl 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 ID3274962360
PECOS Enrollment IDI20200413001456, I20210527000483
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
265 services124 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
228 services112 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
164 services96 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
25 services25 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
25 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38016 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.

Other Providers at the Same Location NPPES 2

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

ANNA ELIZABETH WILLIS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
8130 COUNTRY VILLAGE DR STE 103
CORDOVA, TN 38016
Shelby County (901) 566-1002
MR. MADISON D PETTIGREW MSN, APN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
8130 COUNTRY VILLAGE DR STE 103
CORDOVA, TN 38016
Shelby County (901) 308-2915

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 Derrick Meadow's NPI number?

The NPI number for Derrick Meadow is 1992338719. It was assigned to this individual provider in the NPPES registry on February 20, 2020.

Where is Derrick Meadow located?

Derrick Meadow practices at 8130 Country Village Dr Ste 103, Cordova, TN 38016. The listed phone number is (901) 308-2915.

What is Derrick Meadow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Derrick Meadow enrolled in Medicare?

Yes. Derrick Meadow 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.

What insurance does Derrick Meadow accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Derrick Meadow 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 Derrick Meadow was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.