Derek Neill

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1164919 Issued in TX

Practice address

4545 Heritage Trace Pkwy Ste 1500
Fort Worth, TX 76244-8938

Phone

(682) 593-1231

Fax

(346) 202-0113

NPI assigned

Jun 1, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RRR Hyperbarics 4Group PAC ID 9537421482, 7 clinicians

RRR Hyperbarics 1Group PAC ID 4082975982, 7 clinicians

RRR Hyperbarics 5 LLCGroup PAC ID 5496018848, 6 clinicians

RRR Hyperbarics 3 LLCGroup PAC ID 7113288101, 7 clinicians

Superior Healthcare Services LLCGroup PAC ID 8527468982, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• RRR Hyperbarics 1

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Flower Mound, TX
  • NPI 1407278286
  Medicare reassignment Care Compare group NPD
• RRR Hyperbarics 3 LLC

  dba R3 woundcare and hyperbarics

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fort Worth, TX
  • NPI 1871041913
  Medicare reassignment Care Compare group NPD
• RRR Hyperbarics 4, LLC

  dba R3 Wound Care and Hyperbarics

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lewisville, TX
  • NPI 1205367455
  Medicare reassignment Care Compare group NPD
• RRR Hyperbarics 5, LLC

  dba R3 Wound Care and Hyperbarics

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Arlington, TX
  • NPI 1659887248
  Medicare reassignment Care Compare group NPD
• Superior Healthcare Services LLC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1689262941
  Medicare reassignment Care Compare group NPD
• RRR Hyperbarics 8, LLC

  dba R3 Wound Care and Hyperbarics

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Frisco, TX
  • NPI 1720739048
  Medicare reassignment NPD
• S&S Wound Care Specialists, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fort Worth, TX
  • NPI 1689567109
  NPD (past)

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1043051402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 RUSE SPRINGS LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761315443",
            "telephone_number": "817-907-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 HERITAGE TRACE PKWY STE 1500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448938",
            "telephone_number": "682-593-1231",
            "fax_number": "346-202-0113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7230 Crawford Rd",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "762262677",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Churchill Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750222717",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Fm 544 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750564592",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 N Collins St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760054547",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9990 Dallas Pkwy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750334137",
            "country_code": "US",
            "telephone_number": "682-683-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEILL",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1164919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeinab Nehme
• Neighborhood House Calls PLLC
• Karen Littlefield Neil, DDS
• William Henry Neil III, DO
• Amanda Neill
• Max Gregory Neill, DDS
• Richard B Neill, D.D.S.
• Ian Neilson, RBT
• Ilona Nekhayeva, MD., PHD
• Anatoliy Nekoz, D.O.

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.