MRS. YVONNE DERICKSON (ARNP, FNP-BC) – Family Nurse Practitioner, NPI 1003341280
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. YVONNE DERICKSON (ARNP, FNP-BC)
105 WHITEHALL DR STE 115-116
ST AUGUSTINE, FL 320865269
Phone: (904) 800-7246
Fax: (904) 299-4116
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 753734905
Phone: (904) 800-7246
Fax: (904) 299-4116
Type: Mailing
206 ASHOURIAN AVE STE 209
SAINT AUGUSTINE, FL 320925107
Phone: (904) 742-2157
Fax: (904) 299-4116
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 109 Open Payments records for all available years, with a total value of $2,698.
Total Amount is formed as General ($2,698) + Research ($0) + Ownership ($0) = $2,698.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($862).
Total Amount
$2,698
General + Research + Ownership
Payments
109
Total payment records
General Amount
$2,698
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $862 |
| Curonix LLC | $398 |
| Boston Scientific Corporation | $286 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $246 |
| PFIZER INC. | $192 |
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: 2017-06-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170614000034 | I | Nurse Practitioner | FL | TBD |
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.
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 32086)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Pain Management, Anesthesiology | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | FL |
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