Derek Fenton

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

351949 Issued in NY

Practice address

102 Ford St
Ogdensburg, NY 13669-1402

Phone

(315) 713-9350

NPI assigned

Jun 1, 2023

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 NY

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

State University of Ny Upstate Medical University, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Cerebral Palsy Association of the North Country IncGroup PAC ID 8729078001, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Lights Home Health Care Home health agency, Ogdensberg, NY, CCN 337442
• Carthage Area Hospital, Inc Hospital, Ogdensburg, NY, CCN 331324
• Canton-Potsdam Hospital Hospital, Potsdam, NY, CCN 330197

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• United Cerebral Palsy Association of the North Country, Inc.

  • Federally Qualified Health Center (FQHC)
  • Canton, NY
  • NPI 1467432765
  Medicare reassignment Care Compare group NPD

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

• Canton-Potsdam Hospital

  • General Acute Care Hospital
  • Potsdam, NY
  • NPI 1568548782
  Care Compare affiliation
• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Ogdensburg, NY
  • NPI 1669236261
  Care Compare affiliation
• Northern Lights Health Care Partnership Inc

  • Home Health Agency
  • Canton, NY
  • NPI 1881037604
  Care Compare affiliation

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1245923424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FORD ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FORD ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691402",
            "telephone_number": "315-713-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribeth Evans, RN, NP
• Adriania Fanelli, FNP-C
• Eric David Farrand
• Timothy John Farrell, R.N.
• Bryan Matthew Fedonick, RN
• Stephen W Ferguson
• Darcie L Ferro
• Brittany Fifield, RN
• Melissa Firsching, RN, BSN
• Misty Lynn Fishel

• Family Nurse Practitioner in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.