DEREK EDWARD PHELPS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174288765

DEREK EDWARD PHELPS (CRNA) is a healthcare provider. based in Cincinnati, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 452998 (OH). The NPI Number for DEREK EDWARD PHELPS (CRNA) is 1174288765

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
DEREK EDWARD PHELPS (CRNA)
NPI
1174288765
Phone
(513) 841-7400
Address
2000 JOSEPH E SANKER BLVD
Enumeration Date
8 November 2021
Last Update Date
6 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5138417600
Graduation Year
2024 (2 years ago)
PAC ID
2668900366
Group Practice PAC ID
1456431162
Professional Enrollment ID
I20250108003481
Address ID
OH452121979CI2000XBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for DEREK EDWARD PHELPS (CRNA)

  • 2000 JOSEPH E SANKER BLVD

    CINCINNATI, OH 452121979

    Phone: (513) 841-7400

    Type: Location

  • 7871 BARRET RD

    WEST CHESTER, OH 450692749

    Phone: (859) 240-2780

    Type: Mailing

  • 315 HOSPITAL DR

    MADISON, TN 371155030

    Phone: (615) 868-6503

    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: 2025-01-08

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
I20250108003481ICertified Registered Nurse Anesthetist (Crna)OHTBD

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 45212)

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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: 1456431162View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)KY
-OH
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

What number should I use to identify DEREK EDWARD PHELPS (CRNA) for billing?
Administrative and clinical systems typically use NPI 1174288765 for DEREK EDWARD PHELPS (CRNA).
Does the public listing show DEREK EDWARD PHELPS (CRNA) as active?
DEREK EDWARD PHELPS (CRNA)'s NPI record reflects an active status in NPPES.
What type of care does DEREK EDWARD PHELPS (CRNA) provide?
DEREK EDWARD PHELPS (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DEREK EDWARD PHELPS (CRNA)?
DEREK EDWARD PHELPS (CRNA) is associated with Cincinnati, Ohio in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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