Active NPI
Derekka Alyse Ybarra
- Nurse Practitioner
- Miami, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 113409
- Practice address
- 30 B St SW
Miami, OK 74354-6808 - Phone
- (918) 542-2273
- NPI assigned
- Oct 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2020036159 | MO | |
| Nurse Practitioner | 363L00000X | 113409 | OK | Primary |
Addresses
Primary practice location
30 B St SW
Miami, OK 74354-6808
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Other practice location 1
1510 Elmwood Cir
Miami, OK 74354-1405
Phone (918) 541-6740
Other practice location 2
200 2nd Ave SW
Miami, OK 74354-6830
Phone (918) 542-6611
Other practice location 3
1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-1111
Other practice location 4
3333 McIntosh Cir Ste 4
Joplin, MO 64804-3681
Phone (417) 347-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 B St SW
Miami, OK 74354-6808
Phone (417) 347-3649
Hospital & facility affiliations
- Integris Miami Hospital
- Integris Grove Hospital
- Saint Francis Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.37 of 100
- Quality
- 60.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020036159 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Emergency Services of Oklahoma PC | Nurse Practitioner | Current | Accepting new patients |
| South Central Emergency Services PC | Nurse Practitioner | Current | Accepting new patients |
| Freeman-Oak Hill Health System | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Freeman-Oak Hill Health System | Current | Accepting new patients | |
| Freeman-Oak Hill Health System | Current | Accepting new patients |
Locations
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
3333 McIntosh Cir
Ste 4
Joplin, MO 64804
Phone (417) 347-5000
220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355
1101 E 13th St
Grove, OK 74344
Phone (417) 347-3649
30 B St SW
Miami, OK 74354
Phone (918) 542-2273
2518 N Main St
Miami, OK 74354
Phone (918) 540-9077
200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113
777 NW 63rd St
Fl 2
Oklahoma City, OK 73116
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
2501 N 14th St
Ponca City, OK 74601
Phone (580) 749-5076
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Miami, OK
- NPI 1396889606
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
Nurse Practitioner
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
Nurse Practitioner
-
- Family Medicine Physician
- Lawton, OK
- NPI 1346608809
-
- Rural Health Clinic/Center
- Collinsville, OK
- NPI 1215751508
-
- Multi-Specialty Clinic/Center
- Joplin, MO
- NPI 1679517023
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1891809679
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
-
- General Acute Care Hospital
- Miami, OK
- NPI 1114931342
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1104336536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648033810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 B ST SW",
"city": "MIAMI",
"state": "OK",
"postal_code": "743546808",
"telephone_number": "918-542-2273"
}
],
"practiceLocations": [
{
"address_1": "1510 Elmwood Cir",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "OK",
"postal_code": "743541405",
"country_code": "US",
"telephone_number": "918-541-6740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 2nd Ave SW",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "OK",
"postal_code": "743546830",
"country_code": "US",
"telephone_number": "918-542-6611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 W 32nd St",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "648043503",
"country_code": "US",
"telephone_number": "417-347-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 McIntosh Cir Ste 4",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "648043681",
"country_code": "US",
"telephone_number": "417-347-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YBARRA",
"first_name": "DEREKKA",
"middle_name": "ALYSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-12",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2020036159",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "113409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.