MR. DEREK STORCK (FNP-BC) – Primary Care Nurse Practitioner, NPI 1396282448
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
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Provider Addresses for MR. DEREK STORCK (FNP-BC)
929 STACEY BURK DR
FLORA, IL 628393241
Phone: (618) 910-0465
Type: Mailing
42348, Malbeck Drive, Sterling Heights, Macomb County, Michigan, 48314, United States
STERLING HEIGHTS, MI 483143043
Phone: (618) 910-0465
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $236.
Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Lilly USA, LLC ($62).
Total Amount
$236
General + Research + Ownership
Payments
12
Total payment records
General Amount
$236
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $62 |
| Novartis Pharmaceuticals Corporation | $57 |
| Insulet Corporation | $47 |
| Novo Nordisk Inc | $28 |
| Lundbeck LLC | $25 |
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: 2018-03-12
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 |
|---|---|---|---|---|
| I20180312001688 | I | Nurse Practitioner | IL | 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 62839)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MO | |
| Family Practice | IL | |
| General Surgery | IL | |
| Nurse Practitioner | IL |
Reviews
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