ALLIE DEROO (NP) – Nurse Practitioner, NPI 1124990825

ALLIE DEROO (NP) is a healthcare provider. based in Denver, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APN.1001160-NP (CO). The NPI Number for ALLIE DEROO (NP) is 1124990825

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
ALLIE DEROO (NP)
NPI
1124990825
Phone
(309) 912-4667
Address
1919 MILE HIGH STADIUM CIR APT 804
Enumeration Date
22 September 2025
Last Update Date
22 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037306000
Graduation Year
2025 (1 year ago)
PAC ID
9234620683
Group Practice PAC ID
6608765060
Professional Enrollment ID
I20251113004436
Address ID
CO801222630LI7750XBROA303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for ALLIE DEROO (NP)

  • 1919 MILE HIGH STADIUM CIR APT 804

    DENVER, CO 802042766

    Phone: (309) 912-4667

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251113004436INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608765060View full group profile
NameSpecialtyState
-CO
-CO
-CO
O B S T E T R I C S/ G Y N E C O L O G YCO
-CO
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YCO
Nurse PractitionerCO
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YCO

Reviews

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Frequently asked questions

Can I use this page to confirm ALLIE DEROO (NP)'s NPI?
Yes. ALLIE DEROO (NP) is listed with NPI 1124990825 in the public NPI dataset.
Is ALLIE DEROO (NP) listed as active for patients and plans?
The listing shows ALLIE DEROO (NP) as active in the NPI system.
What is ALLIE DEROO (NP)'s specialty?
The listing groups ALLIE DEROO (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect ALLIE DEROO (NP) on a map?
Expect Denver, Colorado as a primary anchor for ALLIE DEROO (NP) unless the record lists multiple sites.
Why does ALLIE DEROO (NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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