MR. DEREK M WEST (ACNP-BC) – Nurse Practitioner, NPI 1164756664

MR. DEREK M WEST (ACNP-BC) is a healthcare provider. based in Evansville, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP-BC. They hold a License No. 71003054A (IN). The NPI Number for MR. DEREK M WEST (ACNP-BC) is 1164756664

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. DEREK M WEST (ACNP-BC)
NPI
1164756664
Phone
(812) 424-8231
Address
520 MARY ST STE 520
Enumeration Date
30 September 2009
Last Update Date
5 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124248231
Graduation Year
2009 (17 years ago)
PAC ID
5092854810
Group Practice PAC ID
1557346723
Professional Enrollment ID
I20091207000657
Address ID
IN477101682EV520XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for MR. DEREK M WEST (ACNP-BC)

  • 520 MARY ST STE 520

    EVANSVILLE, IN 477101682

    Phone: (812) 424-8231

    Fax: (812) 435-8794

    Type: Mailing

  • 801 Saint Marys Dr Ste 200E

    Evansville, IN 477140518

    Phone: (812) 424-8231

    Fax: (812) 435-8794

    Type: Location

  • 4133 Gateway Blvd Ste 290

    Newburgh, IN 476307918

    Phone: (812) 424-8231

    Fax: (812) 435-8794

    Type: Location

  • Evansville Post office, 402, Water Street, Evansville, Rock County, Wisconsin, 53536, United States

    EVANSVILLE, IN 477061230

    Phone: (812) 450-6815

    Fax: (812) 858-4586

    Type: Mailing

  • 230, Mary Street, Evansville, Vanderburgh County, Indiana, 47710, United States

    EVANSVILLE, IN 477101678

    Phone: (812) 464-9133

    Fax: (812) 464-0559

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: PolyNovo North America LLC ($20).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-12-07

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
I20091207000657INurse PractitionerINTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes12570$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8176$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3129$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 47710)

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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: 1557346723View full group profile
NameSpecialtyState
Physician AssistantIN
General SurgeryIN
Orthopedic Surgery, General SurgeryIN
Nurse PractitionerIN
Vascular Surgery, General SurgeryIN
Physician AssistantIN
Nurse PractitionerIN
Physician AssistantIN
Physician AssistantIL
Nurse PractitionerIN

Reviews

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Frequently asked questions

Does MR. DEREK M WEST (ACNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. DEREK M WEST (ACNP-BC) uses 1164756664.
Can I rely on MR. DEREK M WEST (ACNP-BC) being an active provider?
As of the registry snapshot, MR. DEREK M WEST (ACNP-BC) is marked active.
What healthcare role does MR. DEREK M WEST (ACNP-BC) hold?
Scheduling teams often label MR. DEREK M WEST (ACNP-BC) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MR. DEREK M WEST (ACNP-BC)?
MR. DEREK M WEST (ACNP-BC)'s geographic hint is Evansville, Indiana in our summary view.
Why does MR. DEREK M WEST (ACNP-BC) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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