William Derrick Jr., FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP126699 Issued in TX

Practice address

2418 E York St
Philadelphia, PA 19125-3006

Phone

(415) 840-0560

NPI assigned

Oct 25, 2014

Last updated

Feb 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, PA2 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 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doctors Express of the Beaumont Area PA

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment Care Compare group NPD
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1053784660
  Medicare reassignment Care Compare group NPD
• Circle Medical Care Group PA

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1972358760

  PA

  Medicare reassignment NPD
• University of Texas at Austin Dell Medical School

  dba UT Health Austin

  • General Practice Physician
  • Austin, TX
  • NPI 1073066239
  Medicare reassignment NPD
• Southlake Doctors Express, PA PSC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Southlake, TX
  • NPI 1942519335
  NPD
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1033968789
  NPD
• TMC Provider Group, PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • New Braunfels, TX
  • NPI 1952820599
  NPD
• University of Texas at Austin Dell Medical School

  dba UT Health Austin Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1780218305
  NPD
• Doctors Express of the Temple Area, PA

  • Urgent Care Clinic/Center
  • Temple, TX
  • NPI 1568696227
  NPD (past)
• St. David's Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104
  NPD (past)

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1477958049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 E YORK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253006",
            "telephone_number": "415-840-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E YORK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253006",
            "telephone_number": "415-840-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICK",
        "first_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-25",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126699",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage E Derosa
• Barry Derose, MS
• Troy Joseph Derose, CRNP, RNFA
• Karen Lynn Derosier
• Jovenah Jovenah Derozier, CCHW
• Krystina Derrickson, CPM
• Pier Derrickson, L.AC
• Holly Derubeis
• Gregory Louis Derusso, M.D.
• Patricia Ann Derusso, C.R.N.P.

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.