MRS. DERLY JEAN-NOEL – General Acute Care Hospital, NPI 1013360395

MRS. DERLY JEAN-NOEL is a healthcare provider. based in Kissimmee, Florida. specializing in NURSE PRACTITIONER. They hold a License No. ME 94731 (FL). The NPI Number for MRS. DERLY JEAN-NOEL is 1013360395

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DERLY JEAN-NOEL
NPI
1013360395
Phone
(407) 973-9432
Address
3380 WILDERNESS TRL
Enumeration Date
21 July 2016
Last Update Date
21 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078462266
Graduation Year
2015 (11 years ago)
PAC ID
8729354956
Group Practice PAC ID
5193774461
Professional Enrollment ID
I20171016002573
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:9State licenses:3Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for MRS. DERLY JEAN-NOEL

  • 3380 WILDERNESS TRL

    KISSIMMEE, FL 347462926

    Phone: (407) 973-9432

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-02-05 • Largest payer in this snapshot: PFIZER INC. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$26
View all Open Payments →|Open Payments Risk Radar →

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: 2017-10-16

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
I20171016002573INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes33531$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7775$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3721$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2620$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1612$0
View full utilization report →

Insurance plans in this area (ZIP 34746)

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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: 5193774461View full group profile
NameSpecialtyState
Nurse PractitionerFL
Undersea And Hyperbaric Medicine, Family PracticeFL
Internal MedicineFL
Internal MedicineFL
Nurse PractitionerNY
-FL
-FL
H O S P I T A L I S TFL
Family PracticeFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do I look up MRS. DERLY JEAN-NOEL by NPI?
Use NPI 1013360395 when you need to reference MRS. DERLY JEAN-NOEL in forms, claims, or directories.
Is MRS. DERLY JEAN-NOEL's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MRS. DERLY JEAN-NOEL's specialty in plain language?
Clinically, the directory lists MRS. DERLY JEAN-NOEL with General Acute Care Hospital. Clinical services aligned with this taxonomy classification.
What location shows for MRS. DERLY JEAN-NOEL?
We surface Kissimmee, Florida for MRS. DERLY JEAN-NOEL based on available NPPES addresses.
Is MRS. DERLY JEAN-NOEL a real provider?
This page reflects official NPPES data for NPI 1013360395. Always confirm identity and privileges with the practice and licensing boards.

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