Derek Reed Doorn

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0993763-NP Issued in CO

Practice address

1001 E Johnson St
Holyoke, CO 80734-1854

Phone

(970) 854-2241

NPI assigned

May 2, 2018

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 CO

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Phillips County Hospital DistrictGroup PAC ID 9638161615, shared by 5 NPIs, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Melissa Memorial Hospital Hospital, Holyoke, CO, CCN 061305
• Haxtun Hospital District Hospital, Haxtun, CO, CCN 061304

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: derek.doorn.2@15466.direct.athenahealth.com

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.

• East Phillips County Hospital District

  • Critical Access Hospital
  • Holyoke, CO
  • NPI 1891733879

  CO

  Medicare reassignment NPD
• East Phillips County Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Holyoke, CO
  • NPI 1912915893

  CO

  Medicare reassignment NPD
• East Phillips County Hospital District

  • Rural Health Clinic/Center
  • Holyoke, CO
  • NPI 1073520375
  NPD
• East Phillips County Hospital District

  • Land Ambulance
  • Holyoke, CO
  • NPI 1407444276
  NPD
• East Phillips County Hospital District

  • Land Ambulance
  • Holyoke, CO
  • NPI 1356842652
  NPD (past)
• East Phillips County Hospital District

  • Multi-Specialty Clinic/Center
  • Holyoke, CO
  • NPI 1386705978
  NPD (past)

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

• East Phillips County Hospital District

  • Critical Access Hospital
  • Holyoke, CO
  • NPI 1891733879

  Hospital

  Care Compare affiliation
• Haxtun Hospital District

  • Critical Access Hospital
  • Haxtun, CO
  • NPI 1336103811

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1063901460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14426 COUNTY ROAD 51",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807349553",
            "telephone_number": "970-466-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E JOHNSON ST",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807341854",
            "telephone_number": "970-854-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOORN",
        "first_name": "DEREK",
        "middle_name": "REED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993763-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centennial Mental Health Center, Inc.
• Centennial Mental Health Center, Inc.
• Centennial Mental Health Center, Inc.
• Centennial Mental Health Center, Inc.
• Kevin James Cuccinelli, MD
• Erin Doyle
• Dorothy Drake
• East Phillips County Hospital District
• East Phillips County Hospital District
• East Phillips County Hospital District

• Family Nurse Practitioner in Holyoke, CO
• Providers in Holyoke, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.