DR. JENNIFER REBECCA DERBY (D.O.) – Family Medicine Physician, NPI 1033290804

DR. JENNIFER REBECCA DERBY (D.O.) is a healthcare provider. based in Broadway, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 0102205703 (VA). The NPI Number for DR. JENNIFER REBECCA DERBY (D.O.) is 1033290804

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER REBECCA DERBY (D.O.)
NPI
1033290804
Phone
(540) 901-0800
Address
13892 Timber Way
Enumeration Date
18 October 2006
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5406891000
Graduation Year
2006 (20 years ago)
PAC ID
3274840160
Group Practice PAC ID
7618270729
Professional Enrollment ID
I20200107003365
Address ID
VA228018679RO2010XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

Provider Addresses for DR. JENNIFER REBECCA DERBY (D.O.)

  • 13892 Timber Way

    Broadway, VA 228153332

    Phone: (540) 901-0800

    Fax: (757) 578-8547

    Type: Location

  • 9 MANHATTAN SQ STE A

    HAMPTON, VA 236666262

    Phone: (757) 838-6335

    Fax: (757) 838-0612

    Type: Mailing

  • Harrisonburg Post Office, 3811, South Main Street, Harrisonburg, Rockingham County, Virginia, 22801, United States

    HARRISONBURG, VA 228031430

    Phone: (540) 901-0800

    Fax: (757) 578-8547

    Type: Mailing

  • Timber Way, Broadway, Rockingham County, Virginia, 22815, United States

    BROADWAY, VA 228153332

    Phone: (540) 901-0800

    Fax: (757) 578-8547

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2020-01-07

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
I20200107003365IFamily PracticeVATBD

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 minutes1,047441$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit344344$0
99213Established patient office or other outpatient visit, 20-29 minutes196154$0
93793Anticoagulant management of patient taking warfarin13213$0
G0008Administration of influenza virus vaccine8988$0
View full utilization report →

Insurance plans in this area (ZIP 22815)

Loading plans...

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: 7618270729View full group profile
NameSpecialtyState
General SurgeryVA
Hospitalist, Internal MedicineVA
Vascular Surgery, General SurgeryVA
-VA
General SurgeryVA
Family PracticeVA
-VA
-VA
-OH
General SurgeryVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for DR. JENNIFER REBECCA DERBY (D.O.)?
The registry entry for DR. JENNIFER REBECCA DERBY (D.O.) shows NPI 1033290804.
Quick check: is DR. JENNIFER REBECCA DERBY (D.O.) active?
Public NPPES data shows DR. JENNIFER REBECCA DERBY (D.O.) with an active NPI status right now.
How should patients interpret DR. JENNIFER REBECCA DERBY (D.O.)'s specialty?
The extract shows Family Medicine Physician for DR. JENNIFER REBECCA DERBY (D.O.). Clinical services aligned with this taxonomy classification.
Is DR. JENNIFER REBECCA DERBY (D.O.) tied to Broadway, Virginia?
If you are local to Broadway, Virginia, DR. JENNIFER REBECCA DERBY (D.O.) may be relevant to your search.
Why is information missing for DR. JENNIFER REBECCA DERBY (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

GEORGE ALEXANDER II BENTREM (M.D.)

Family Medicine Physician
Timber Way, Broadway, Rockingham County, Virginia, 22815, United States
NPI: 1699749648

BROADWAY FAMILY PRACTICE, PC

Family Medicine Physician
12515 TIMBERWAY
NPI: 1891880217

MARK MAST (MD)

Family Medicine Physician
Timber Way, Broadway, Rockingham County, Virginia, 22815, United States
NPI: 1720166994

JORDAN LYNN HILL (D.O.)

Family Medicine Physician
PO BOX 1430
NPI: 1053503417

GILBERT C III RICE (DO)

Family Medicine Physician
13892 Timber Way
NPI: 1033347620

MARK DONALD MACKAY (DO)

Family Medicine Physician
1600, Providence Drive, Waco, McLennan County, Texas, 76707, United States
NPI: 1427618735

JACOB AUSTIN CANFIELD (MD)

Family Medicine Physician
1600 Providence Dr
NPI: 1174265904

JESSICA LYNN DOVE (FNP-C)

Family Medicine Physician
5894 HOPKINS GAP RD
NPI: 1578285763