DERICK NELSON FARMER – Clinical Social Worker, NPI 1851874564

DERICK NELSON FARMER is a healthcare provider. based in Belton, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 4726 (KS). The NPI Number for DERICK NELSON FARMER is 1851874564

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DERICK NELSON FARMER
NPI
1851874564
Phone
(620) 288-0768
Address
17503 Chestnut Dr
Enumeration Date
9 September 2018
Last Update Date
20 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8164045709
Graduation Year
2011 (15 years ago)
PAC ID
7113359704
Group Practice PAC ID
7315841418
Professional Enrollment ID
I20191120001732
Address ID
MO641082026KA300XXTERX412
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

Provider Addresses for DERICK NELSON FARMER

  • 17503 Chestnut Dr

    Belton, MO 640122825

    Phone: (620) 288-0768

    Type: Location

  • 10228 KESSLER ST APT A

    OVERLAND PARK, KS 662125357

    Phone: (620) 288-0768

    Type: Mailing

  • 300, West 19th Terrace, West Side, Kansas City, Jackson County, Missouri, 64108, United States

    KANSAS CITY, MO 641082026

    Phone: (816) 404-5709

    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: 2023-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191120001732IClinical Social WorkerMOTBD
I20230509001551IClinical Social WorkerKSTBD

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 64012)

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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: 7315841418View full group profile
NameSpecialtyState
-NM
Nurse PractitionerMO
-IL
-MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

How do I look up DERICK NELSON FARMER by NPI?
Use NPI 1851874564 when you need to reference DERICK NELSON FARMER in forms, claims, or directories.
Is DERICK NELSON FARMER's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DERICK NELSON FARMER?
The page reflects Clinical Social Worker for DERICK NELSON FARMER. Clinical services aligned with this taxonomy classification.
Where is DERICK NELSON FARMER's primary listing?
We display Belton, Missouri because that is what the record indicates for DERICK NELSON FARMER.
Is DERICK NELSON FARMER a real provider?
This page reflects official NPPES data for NPI 1851874564. Always confirm identity and privileges with the practice and licensing boards.

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