NPIMap

Individual provider Active NPI

Derek Robert McClure, FNP-C

  • Family Nurse Practitioner
  • West Jefferson, NC
National Provider Identifier
1184738338
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201844 Issued in NC
Practice address
952 US Highway 221 Bus
West Jefferson, NC 28694
Phone
(336) 846-6100
Fax
(336) 846-7900
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201844 NC Primary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 201844 NC

Addresses

Primary practice location

952 US Highway 221 Bus
West Jefferson, NC 28694

Mailing address

PO Box 70
West Jefferson, NC 28694-0070
Phone (336) 846-6100

Other identifiers 1

IdentifierTypeStateIssuer
7003818MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050505001015 NC Practitioner - Nurse Practitioner 1153361464 Reassigns benefits to 1 organization
Receives reassigned benefits from 4 practitioners
Practice locations: West Jefferson, NC

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

952 US Hwy 221 Bus
West Jefferson, NC 28694-8137
Phone (336) 846-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201844NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Derek McClure Single Specialty PastSince Apr 9, 2016 Accepting new patients
Daneil Strickland MD Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: derek.mcclure@securechartupload.com

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1184738338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286940070",
            "telephone_number": "336-846-6100",
            "fax_number": "336-846-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 US HIGHWAY 221 BUS",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "28694",
            "telephone_number": "336-846-6100",
            "fax_number": "336-846-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "DEREK",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201844",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003818",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jefferson, NC

Sources for this page

Verify at the official NPI Registry.