DERRICK MEADOW (APRN, PMHNP-BC, CNL) – Psychiatric/Mental Health Nurse Practitioner, NPI 1992338719

DERRICK MEADOW (APRN, PMHNP-BC, CNL) is a healthcare provider. based in Cordova, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC, CNL. They hold a License No. 903854 (MS). The NPI Number for DERRICK MEADOW (APRN, PMHNP-BC, CNL) is 1992338719

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DERRICK MEADOW (APRN, PMHNP-BC, CNL)
NPI
1992338719
Phone
(901) 308-2915
Address
8130 COUNTRY VILLAGE DR STE 102
Enumeration Date
20 February 2020
Last Update Date
1 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9013082915
Graduation Year
2019 (7 years ago)
PAC ID
3274962360
Group Practice PAC ID
6406742303
Professional Enrollment ID
I20200413001456
Address ID
TN380162087CO8130XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for DERRICK MEADOW (APRN, PMHNP-BC, CNL)

  • 8130 COUNTRY VILLAGE DR STE 102

    CORDOVA, TN 380162087

    Phone: (901) 308-2915

    Fax: (901) 308-2924

    Type: Mailing

  • 8130 COUNTRY VILLAGE DR STE 103

    CORDOVA, TN 380162087

    Phone: (901) 308-2915

    Fax: (901) 308-2924

    Type: Location

  • 58 TIMBER CREEK DR

    CORDOVA, TN 380184233

    Phone: (901) 326-3133

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 210 Open Payments records for all available years, with a total value of $15,313.

Total Amount is formed as General ($15,313) + Research ($0) + Ownership ($0) = $15,313.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($12,438).

Total Amount

$15,313

General + Research + Ownership

Payments

210

Total payment records

General Amount

$15,313

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2021-05-27

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
I20200413001456INurse PractitionerTNTBD
I20210527000483INurse PractitionerMSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes402163$0
80305Testing for presence of drug, read by direct observation245137$0
99213Established patient office or other outpatient visit, 20-29 minutes200117$0
96372Injection of drug or substance under skin or into muscle5411$0
90792Psychiatric diagnostic evaluation with medical services3131$0
View full utilization report →

Insurance plans in this area (ZIP 38016)

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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: 6406742303View full group profile

Reviews

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Frequently asked questions

Can I verify DERRICK MEADOW (APRN, PMHNP-BC, CNL) with an NPI only?
You can start verification with NPI 1992338719 for DERRICK MEADOW (APRN, PMHNP-BC, CNL), then check state licensing separately.
Is DERRICK MEADOW (APRN, PMHNP-BC, CNL) listed as active for patients and plans?
The listing shows DERRICK MEADOW (APRN, PMHNP-BC, CNL) as active in the NPI system.
What is DERRICK MEADOW (APRN, PMHNP-BC, CNL)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for DERRICK MEADOW (APRN, PMHNP-BC, CNL) here. Clinical services aligned with this taxonomy classification.
What address line appears for DERRICK MEADOW (APRN, PMHNP-BC, CNL)?
DERRICK MEADOW (APRN, PMHNP-BC, CNL)'s geographic hint is Cordova, Tennessee in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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