Bailey Dervin, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

115191 Issued in NE

Practice address

17201 Wright St Ste 200
Omaha, NE 68130-2042

Phone

(402) 334-4773

Fax

(402) 330-7463

NPI assigned

Mar 4, 2024

Sex

Female

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 NE

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

Oncology Hematology West PC 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
• CHI Health Lakeside Hospital, Omaha, NE, CCN 280130

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Oncology Hematology West, PC

  • Hematology & Oncology Physician
  • Omaha, NE
  • NPI 1932178530

  NE

  Medicare reassignment Care Compare group NPD
• Oncology Hematology West, PC

  • Community/Retail Pharmacy
  • Omaha, NE
  • NPI 1164833307
  Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alegent Creighton Health

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1649355132

  Hospital

  Care Compare affiliation
• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1043077274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17201 WRIGHT ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302042",
            "telephone_number": "402-334-4773",
            "fax_number": "402-330-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17201 WRIGHT ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302042",
            "telephone_number": "402-334-4773",
            "fax_number": "402-330-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERVIN",
        "first_name": "BAILEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Derry, R.N. B.S.N.
• Hannah Dertzo
• Nicole Dertzo
• Kristyn Deruiter
• Nelya Derun
• Kathleen Dervin, PSYD
• Megan Ann Dervin
• Des Moines Regenerative Medicine PLLC
• Valmont P Desa, MD, DDS
• Alka Desai

• All providers in Omaha, NE
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.