Individual provider Active NPI

Lori E Falcone, APRN

  • Nurse Practitioner
  • Derby, KS
National Provider Identifier
1023615648
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-79752-112 Issued in KS
Practice address
1121 N College Park St Ste 400
Derby, KS 67037-3667
Phone
(316) 788-3376
NPI assigned
Oct 6, 2020
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-79752-112 KS Primary
Dermatology Physician 207N00000X 53-79752-112 KS

Addresses

Primary practice location

1121 N College Park St Ste 400
Derby, KS 67037-3667

Mailing address

1121 N College Park St Ste 400
Derby, KS 67037-3667

Other identifiers 1

IdentifierTypeStateIssuer
53-79752-112OtherKSAPRN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://derbyderm.com/ Derby Derm

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201207000312 KS Practitioner - Nurse Practitioner 4486065976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derby DermGroup PAC ID 2567511132, 2 clinicians

Practice addresses (Care Compare)

1121 N College Park St
Suite 400
Derby, KS 67037-3667
Phone (316) 788-3376

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Derby Derm CurrentSince Nov 17, 2020 Accepting new patients

Locations

1121 N College Park St
Ste 400
Derby, KS 67037
Phone (316) 788-3376

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1023615648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N COLLEGE PARK ST STE 400",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N COLLEGE PARK ST STE 400",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373667",
            "telephone_number": "316-788-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCONE",
        "first_name": "LORI",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-79752-112",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "53-79752-112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "53-79752-112",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://derbyderm.com/",
            "affiliation": "Y",
            "endpointDescription": "WEBSITE",
            "affiliationName": "Derby Derm",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "WEBSITE",
            "address_1": "1121 N College Park St Ste 400",
            "city": "Derby",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670373667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

Verify at the official NPI Registry.