DERON DERMAR I FORD (CNP) – Acute Care Nurse Practitioner, NPI 1023718525

DERON DERMAR I FORD (CNP) is a healthcare provider. based in Red oak, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 1112214 (TX). The NPI Number for DERON DERMAR I FORD (CNP) is 1023718525

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DERON DERMAR I FORD (CNP)
NPI
1023718525
Phone
(601) 218-7593
Address
106 E OVILLA RD # 1A147
Enumeration Date
6 March 2023
Last Update Date
24 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035938441
Graduation Year
2021 (5 years ago)
PAC ID
5294193561
Group Practice PAC ID
6305295429
Professional Enrollment ID
I20230619000261
Address ID
TX757012036TY800XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

22,440 NURSE PRACTITIONER in TX

Provider Addresses for DERON DERMAR I FORD (CNP)

  • 106 E OVILLA RD # 1A147

    RED OAK, TX 751542479

    Phone: (601) 218-7593

    Type: Mailing

  • 13737 NOEL RD STE 1400

    DALLAS, TX 752402004

    Phone: (954) 939-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-02-20 • Largest payer in this snapshot: ABBVIE INC. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$26
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: 2023-06-19

PECOS data refreshed: 2026-06-15

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
I20230619000261INurse PractitionerTXTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3433$0
View full utilization report →

Insurance plans in this area (ZIP 75154)

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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: 6305295429View full group profile
NameSpecialtyState
Nurse PractitionerTX
H O S P I T A L I S TNE
Hospitalist, GastroenterologyTX
Internal MedicineTX
Hospitalist, Internal MedicineTX
Internal MedicineTX
Nurse PractitionerTX
H O S P I T A L I S TTX
Family PracticeTX
Internal MedicineTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DERON DERMAR I FORD (CNP)?
DERON DERMAR I FORD (CNP) — NPI 1023718525 — is the standard way to identify this listing.
Is DERON DERMAR I FORD (CNP) listed as active for patients and plans?
The listing shows DERON DERMAR I FORD (CNP) as active in the NPI system.
What is DERON DERMAR I FORD (CNP) best known for clinically?
Directory data describes DERON DERMAR I FORD (CNP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does DERON DERMAR I FORD (CNP) serve?
DERON DERMAR I FORD (CNP)'s listing highlights Red Oak, Texas; more addresses can appear in NPPES.
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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