NPIMap

Individual provider Active NPI

Derek Thomas Feige, PA-C

  • Physician Assistant
  • Farmington, NM
National Provider Identifier
1083376727
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2022-0001 Issued in NM
Practice address
801 W Maple St
Farmington, NM 87401-5630
Phone
(505) 609-2000
NPI assigned
Oct 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2022-0001 NM Primary

Addresses

Primary practice location

801 W Maple St
Farmington, NM 87401-5630

Mailing address

PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2258

Other practice location 1

2813 Crown Jewel Ct
Spearfish, SD 57783-4105
Phone (605) 759-5972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WY, NE3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220322000718 NM Practitioner - Physician Assistant 3971998345 Reassigns benefits to 1 organization
I20240614003482 WY Practitioner - Physician Assistant 3971998345 Reassigns benefits to 1 organization
I20260203000330 NE Practitioner - Physician Assistant 3971998345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimball County HospitalGroup PAC ID 5799751004, shared by 4 NPIs, 19 clinicians

Practice addresses (Care Compare)

255 W 4TH St
Kimball, NE 69145-1706

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
79.73
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3356NEMDPhysical Therapist
PA2022-0001NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District CurrentSince Nov 1, 2024 Accepting new patients
Campbell County Hospital District CurrentSince Nov 1, 2024 Accepting new patients
Campbell County Hospital District Current Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Feb 28, 2022 Accepting new patients
Kimball County Hospital CurrentSince Jan 13, 2026 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Feb 28, 2022 Accepting new patients
Kimball County Hospital CurrentSince Jan 9, 2026 Accepting new patients
Kimball County Hospital CurrentSince Jan 9, 2026 Accepting new patients

Locations

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1083376727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844088",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844088",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015630",
            "telephone_number": "505-609-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2813 Crown Jewel Ct",
            "address_purpose": "LOCATION",
            "city": "Spearfish",
            "state": "SD",
            "postal_code": "577834105",
            "country_code": "US",
            "telephone_number": "605-759-5972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEIGE",
        "first_name": "DEREK",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2022-0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.