DR. DEREK M PARKER (PSY.D.) – Psychologist, NPI 1568690923
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
282 CLINICAL PSYCHOLOGIST in KS
Provider Addresses for DR. DEREK M PARKER (PSY.D.)
131 N. HILLSIDE
ELDORADO, KS 67042
Phone: (620) 417-0308
Fax: (913) 938-5412
Type: Mailing
8911 E Orme St Ste A
Wichita, KS 672072424
Phone: (316) 686-7884
Fax: (620) 417-0308
Type: Location
PO BOX 467
NEWTON, KS 671140467
Phone: (316) 284-6400
Fax: (162) 845-6490
Type: Mailing
East 1st Street, Newton, Catawba County, North Carolina, 28658, United States
NEWTON, KS 671145010
Phone: (316) 284-6400
Fax: (316) 284-6490
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: 2019-05-20
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 |
|---|---|---|---|---|
| I20190520000699 | I | Clinical Psychologist | KS | 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 67042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Marriage And Family Therapist | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Mental Health Counselor | KS |
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