DEREK SINJU (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205566494

DEREK SINJU (APRN) is a healthcare provider. based in Grand prairie, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1077322 (TX). The NPI Number for DEREK SINJU (APRN) is 1205566494

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DEREK SINJU (APRN)
NPI
1205566494
Phone
(617) 270-6861
Address
2635 Stonelake Dr Apt 334
Enumeration Date
13 June 2022
Last Update Date
8 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2143302488
Graduation Year
2024 (2 years ago)
PAC ID
3971095282
Group Practice PAC ID
2062308091
Professional Enrollment ID
I20251124004270
Address ID
TX750511527GR1020XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DEREK SINJU (APRN)

  • 2635 Stonelake Dr Apt 334

    Grand Prairie, TX 750508799

    Phone: (617) 270-6861

    Type: Location

  • 2635 STONELAKE DR APT 334

    GRAND PRAIRIE, TX 750508799

    Phone: (617) 270-6861

    Type: Mailing

  • 1527 TRAIL RIDGE DR

    CEDAR HILL, TX 751043903

    Phone: (617) 270-6861

    Type: Mailing

  • 1020 S CARRIER PKWY

    GRAND PRAIRIE, TX 750511527

    Phone: (214) 330-2488

    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: 2025-11-24

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
I20251124004270INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75050)

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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: 2062308091View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Mental Health CounselorTX
Nurse PractitionerTX
P S Y C H I A T R YTX
P S Y C H I A T R YTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for DEREK SINJU (APRN)?
Save NPI 1205566494 if you need a stable reference for DEREK SINJU (APRN).
Is DEREK SINJU (APRN)'s NPI currently valid?
The extract we use shows DEREK SINJU (APRN) as active.
Does DEREK SINJU (APRN) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for DEREK SINJU (APRN). Clinical services aligned with this taxonomy classification.
Does DEREK SINJU (APRN) practice in Texas?
You will see Grand Prairie, Texas on file for DEREK SINJU (APRN) alongside any extra practice locations.
Is DEREK SINJU (APRN) a real provider?
This page reflects official NPPES data for NPI 1205566494. Always confirm identity and privileges with the practice and licensing boards.

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