Individual provider Active NPI

Derek Anthony Harpole, NP-C

  • Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1235771874
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP143503 Issued in TX
Practice address
3825 W Green Oaks Blvd Ste 750
Arlington, TX 76016-2728
Phone
(210) 840-7527
Fax
(817) 389-6172
NPI assigned
Oct 15, 2019
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP143503 TX Primary
Family Nurse Practitioner 363LF0000X 201911388NP-PP OR

Addresses

Primary practice location

3825 W Green Oaks Blvd Ste 750
Arlington, TX 76016-2728

Mailing address

3825 W Green Oaks Blvd Ste 750
Arlington, TX 76016-2728
Phone (210) 840-7527

Other practice location 1

1800 Coburg Rd
Eugene, OR 97401-4995

Other identifiers 1

IdentifierTypeStateIssuer
500776215MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Www.RXNT.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX, CO, VA, TN, AL, NM, FL, NH, MA, VT, LA12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20200501001739 OR Practitioner - Nurse Practitioner 3779914965 Reassigns benefits to 3 organizations
I20201203000713 TX Practitioner - Nurse Practitioner 3779914965 Reassigns benefits to 2 organizations
I20230804003253 CO Practitioner - Nurse Practitioner 3779914965
I20231107000382 VA Practitioner - Nurse Practitioner 3779914965 Reassigns benefits to 4 organizations
I20231108002622 TN Practitioner - Nurse Practitioner 3779914965 Reassigns benefits to 1 organization
I20240111001405 AL Practitioner - Nurse Practitioner 3779914965 Reassigns benefits to 1 organization
I20240221001855 NM Practitioner - Nurse Practitioner 3779914965 Reassigns benefits to 1 organization
I20240417001090 FL Practitioner - Nurse Practitioner 3779914965 Reassigns benefits to 4 organizations
I20250117002346 NH Practitioner - Nurse Practitioner 3779914965 Reassigns benefits to 4 organizations
I20250122000667 MA Practitioner - Nurse Practitioner 3779914965 Reassigns benefits to 1 organization
I20250312001211 VT Practitioner - Nurse Practitioner 3779914965 Reassigns benefits to 4 organizations
I20260623004741 LA Practitioner - Nurse Practitioner 3779914965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Practice addresses (Care Compare)

11 Dairy LN
Fredericksburg, VA 22405-2663
Phone (212) 734-6621

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

20 Maitland St
Concord, NH 03301-3534
Phone (212) 734-6621

596 Sheldon Rd
Saint Albans, VT 05478-8011
Phone (212) 734-6621

633 NE 167TH St
Suite 301N
Miami, FL 33162-2441
Phone (212) 734-6621

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201911388NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Mar 9, 2020 Accepting new patients
Visavis Health Care Medical Group of Ma PLLC CurrentSince Dec 6, 2024 Accepting new patients
Icco, LLC CurrentSince Feb 1, 2021 Accepting new patients
Dr Rebman BH LLC CurrentSince Jan 24, 2026 Accepting new patients
Icco, LLC Current Accepting new patients
Visavis Health Care Medical Group of TN PLLC CurrentSince Sep 30, 2023 Accepting new patients
Visavis Health Care Medical Group of VT PLLC CurrentSince Jan 4, 2025 Accepting new patients
Visavis Health Care Medical Group of VA LLC CurrentSince Aug 20, 2023 Accepting new patients
Visavis Health Care Medical Group of TX PLLC CurrentSince Jan 12, 2025 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Nov 16, 2020 Accepting new patients
Visavis Health Care Medical Group of NM LLC CurrentSince Jan 8, 2024 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Mar 9, 2020 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Nov 16, 2020 Accepting new patients
Dr Rebman Medical PA CurrentSince Nov 1, 2025 Accepting new patients
Ivy Medical Group PLLC CurrentSince Oct 1, 2025 Accepting new patients
Icco LLC CurrentSince Feb 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Nov 15, 2021 Accepting new patients
Primary Care and Wellness Clinic of Arlington, PLLC Family CurrentSince Apr 17, 2022 Accepting new patients
Visavis Health Care Medical Group of FL, PLLC CurrentSince Mar 10, 2024 Accepting new patients
Visavis Health Care Medical Group of Al LLC CurrentSince Dec 10, 2023 Accepting new patients
Visavis Health Care Medical Group of NH LLC CurrentSince Nov 15, 2024 Accepting new patients

Locations (25 of 26)

500 John Aldridge Dr
Tuscumbia, AL 35674
Phone (256) 373-4541

633 NE 167th St
Ste 301
North Miami Beach, FL 33162

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

10150 Highland Manor Dr
Ste 300
Tampa, FL 33610
Phone (813) 558-6600

15 Kirkbride Dr
Danvers, MA 01923
Phone (978) 558-4120

20 Maitland St
Concord, NH 03301
Phone (516) 817-7093

103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300

1481 McDonald Ave
Fl 2
Brooklyn, NY 11230

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

831 Bedford Ave
Brooklyn, NY 11205

885 3rd Ave
New York, NY 10022
Phone (212) 906-1200

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

1800 Coburg Rd
Eugene, OR 97401
Phone (541) 342-1632

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

780 Commercial St SE
Ste 100
Salem, OR 97301
Phone (469) 466-7037

136 Davis Ln
La Follette, TN 37766
Phone (423) 562-0760

3825 W Green Oaks Blvd
Ste 750
Arlington, TX 76016
Phone (210) 840-7527

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

7300 State Highway 121
Ste 300
McKinney, TX 75070
Phone (214) 937-0278

7300 State Highway 121
Ste 300374
McKinney, TX 75070

4401 College Dr
Vernon, TX 76384
Phone (877) 210-2373

11 Dairy Ln
Fredericksburg, VA 22405
Phone (540) 371-9414

596 Sheldon Rd
Saint Albans, VT 05478
Phone (802) 524-6534

Interoperability endpoints

  • Direct secure messaging: derek.harpole.1@21577.direct.athenahealth.com
  • Direct secure messaging: derek.harpole@237407481626628.direct.elationemr.com

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 5

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1235771874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 W GREEN OAKS BLVD STE 750",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162728",
            "telephone_number": "210-840-7527",
            "fax_number": "817-389-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 W GREEN OAKS BLVD STE 750",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162728",
            "telephone_number": "210-840-7527",
            "fax_number": "817-389-6172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 COBURG RD",
            "address_purpose": "LOCATION",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014995",
            "country_code": "US",
            "fax_number": "541-274-6739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPOLE",
        "first_name": "DEREK",
        "middle_name": "ANTHONY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP143503",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201911388NP-PP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500776215",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.RXNT.com",
            "affiliation": "N",
            "endpointDescription": "Medical record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3825 W Green Oaks Blvd Ste 750",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760162728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.