DERECK TA SHANTE WRIGHT (AGACNP-BC) – Nurse Practitioner, NPI 1144810144
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for DERECK TA SHANTE WRIGHT (AGACNP-BC)
PO BOX 845347
DALLAS, TX 752847208
Phone:
Type: Mailing
6201 HARRY HINES BLVD
DALLAS, TX 753907701
Phone: (214) 648-3111
Type: Location
6201 Harry Hines Blvd
Dallas, TX 753907701
Phone: (214) 648-3111
Type: Location
1935 Medical District Dr
Dallas, TX 752357701
Phone: (214) 648-3111
Type: Location
501 AIR PARK AVE
GREENVILLE, TX 754023000
Phone: (903) 408-5834
Fax: (903) 408-5693
Type: Mailing
4215 JOE RAMSEY BLVD E
GREENVILLE, TX 754017852
Phone: (903) 408-5834
Fax: (903) 408-5693
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Masimo Corporation ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Masimo Corporation | $14 |
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: 2021-02-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210226000691 | I | Nurse Practitioner | TX | TBD |
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.
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 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Diagnostic Radiology, Interventional Radiology | TX | |
| Diagnostic Radiology | TX | |
| Family Practice, Internal Medicine | TX | |
| Internal Medicine | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| Internal Medicine | TX | |
| Diagnostic Radiology | TX | |
| Internal Medicine | TX | |
| Internal Medicine | TX |
Reviews
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