DEREK ROBERT QUINN (ACNP) – Acute Care Nurse Practitioner, NPI 1427785401

DEREK ROBERT QUINN (ACNP) is a healthcare provider. based in Kalamazoo, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 4704301818 (MI). The NPI Number for DEREK ROBERT QUINN (ACNP) is 1427785401

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DEREK ROBERT QUINN (ACNP)
NPI
1427785401
Phone
Not provided
Address
601 JOHN STREET
Enumeration Date
1 August 2022
Last Update Date
6 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692564700
Graduation Year
2022 (4 years ago)
PAC ID
9133501083
Group Practice PAC ID
4688031578
Professional Enrollment ID
I20220809002254
Address ID
MI490154274BA5550XRDXX400

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for DEREK ROBERT QUINN (ACNP)

  • 601 JOHN STREET

    BOX 39

    KALAMAZOO, MI 490079525

    Phone:

    Type: Mailing

  • 601 JOHN ST STE M510

    KALAMAZOO, MI 490075341

    Phone: (269) 341-7762

    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: 2022-08-09

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
I20220809002254INurse PractitionerMITBD

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 49007)

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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: 4688031578View full group profile
NameSpecialtyState
P S Y C H I A T R YCO
Physician AssistantMI
P S Y C H I A T R YMI
P S Y C H I A T R YMI
P S Y C H I A T R YMI
Nurse PractitionerMI
P S Y C H I A T R YMT
Nurse PractitionerMI
Nurse PractitionerMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

How is DEREK ROBERT QUINN (ACNP) identified in CMS data?
CMS-hosted NPPES data lists DEREK ROBERT QUINN (ACNP) with NPI 1427785401.
Can I rely on DEREK ROBERT QUINN (ACNP) being an active provider?
As of the registry snapshot, DEREK ROBERT QUINN (ACNP) is marked active.
What is DEREK ROBERT QUINN (ACNP)'s specialty?
The listing groups DEREK ROBERT QUINN (ACNP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does DEREK ROBERT QUINN (ACNP) list a practice location?
Patients near Kalamazoo, Michigan may find DEREK ROBERT QUINN (ACNP) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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