DERIK TYLER GOTAY (DNAP) – Certified Registered Nurse Anesthetist, NPI 1124715149

DERIK TYLER GOTAY (DNAP) is a healthcare provider. based in Gainesville, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNAP. They hold a License No. APRN11026133 (FL). The NPI Number for DERIK TYLER GOTAY (DNAP) is 1124715149

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DERIK TYLER GOTAY (DNAP)
NPI
1124715149
Phone
(352) 273-8610
Address
1600 SW Archer Rd
Enumeration Date
19 April 2023
Last Update Date
9 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
2062873243
Group Practice PAC ID
7517995012
Professional Enrollment ID
I20250609003161
Address ID
KS674201605BE400XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:3State licenses:5Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for DERIK TYLER GOTAY (DNAP)

  • 1600 SW Archer Rd

    Gainesville, FL 326104009

    Phone: (352) 273-8610

    Type: Location

  • 231 E Chestnut St

    Louisville, KY 402021821

    Phone: (502) 629-6000

    Fax: (502) 451-4553

    Type: Location

  • 2929 E THOMAS RD

    PHOENIX, AZ 850168034

    Phone: (602) 470-5000

    Fax: (602) 470-5064

    Type: Mailing

  • 2601 E ROOSEVELT ST

    PHOENIX, AZ 850084973

    Phone: (602) 344-5039

    Type: Location

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: 2025-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20230803003929ICertified Registered Nurse Anesthetist (Crna)NETBD
I20231030001705ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20250513003406IAnesthesiologyAZTBD
I20250609003161ICertified Registered Nurse Anesthetist (Crna)KSTBD
I20250709000106ICertified Registered Nurse Anesthetist (Crna)INTBD
I20250715000166ICertified Registered Nurse Anesthetist (Crna)IATBD

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 32610)

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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: 7517995012View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)AK
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)MO
General SurgeryKS

Reviews

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Frequently asked questions

What NPI should I save for DERIK TYLER GOTAY (DNAP)?
Save NPI 1124715149 if you need a stable reference for DERIK TYLER GOTAY (DNAP).
Is DERIK TYLER GOTAY (DNAP) currently active in the NPI registry?
CMS-published data lists DERIK TYLER GOTAY (DNAP) as an active registrant.
What does DERIK TYLER GOTAY (DNAP) treat or focus on?
Patients typically see DERIK TYLER GOTAY (DNAP) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does DERIK TYLER GOTAY (DNAP) practice in Florida?
You will see Gainesville, Florida on file for DERIK TYLER GOTAY (DNAP) alongside any extra practice locations.
What if Gainesville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.