Derek Lambert

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2015008642 Issued in MO

Practice address

1334 Heritage Pkwy
Wentzville, MO 63385-3570

Phone

(636) 288-5225

NPI assigned

Mar 31, 2015

Sex

Male

Sole proprietor

Yes

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 MO

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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

US Mens Medical CenterGroup PAC ID 8426394487, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• US Mens Medical Center

  • Adult Health Nurse Practitioner
  • Wentzville, MO
  • NPI 1639531148
  Medicare reassignment Care Compare group NPD Authorized official
• Premier Surgical Assisting, LLC

  • Adult Health Nurse Practitioner
  • Wentzville, MO
  • NPI 1780168005
  NPD Authorized official
• Advance Practice Surgical Assisting LLC

  • Adult Health Nurse Practitioner
  • Wentzville, MO
  • NPI 1699168633
  Authorized official Same address or phone

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1538554167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 HERITAGE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853570",
            "telephone_number": "636-288-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 HERITAGE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853570",
            "telephone_number": "636-288-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "DEREK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2015008642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kuhn, D.C.
• Dana Sue Kulick X, COTA
• Matthew Kungis, PT, DPT
• Lake Forest Pharmacy
• Lake St. Louis Wigs and Cuts
• Jordis Nevaeh Lang
• Janae Nicole Laporte
• James Laws
• Sarah Elizabeth Layton, MSW, LCSW
• Leah S Owens DC LLC

• Adult Health Nurse Practitioner in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.