Susen Deanne McCleery-Derrick, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP128464 Issued in TX

Practice address

800 5TH Ave Ste 400
Fort Worth, TX 76104-7305

Phone

(817) 761-7740

Fax

(817) 761-7742

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susen Deanne Derrick Former name

Medicare fee-for-service enrollment

Enrolled in TX

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smccleeryderrick1618853@direct.texashealth.org

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.

• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment Care Compare group NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment Care Compare group NPD
• Acute Care Surgical Affiliates of Texas PA

  • Surgery Physician
  • Corpus Christi, TX
  • NPI 1407322415
  Medicare reassignment NPD
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment NPD
• North Texas Critical Care PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1265863542
  Medicare reassignment NPD
• Urgent Surgery Associates, P.a.

  • Trauma Surgery Physician
  • Dallas, TX
  • NPI 1326077082
  Medicare reassignment NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Her Kare Physicians Group PLLC

  • Family Medicine Physician
  • Grapevine, TX
  • NPI 1245664101
  NPD (past)
• McKinney Chiropractic, P.a.

  • Chiropractor
  • McKinney, TX
  • NPI 1194931873
  NPD (past)
• Sloan Medical, PA

  • Physical Medicine & Rehabilitation Physician
  • McKinney, TX
  • NPI 1740556422
  NPD (past)

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

• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1811089899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 SPORTS VILLAGE RD",
            "address_2": "SUITE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333523",
            "telephone_number": "214-705-7390",
            "fax_number": "214-705-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 5TH AVE STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047305",
            "telephone_number": "817-761-7740",
            "fax_number": "817-761-7742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6065 Sports Village Rd",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750333523",
            "country_code": "US",
            "telephone_number": "214-705-7390",
            "fax_number": "214-705-7393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLEERY-DERRICK",
        "first_name": "SUSEN",
        "middle_name": "DEANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568073",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSEN",
            "last_name": "DERRICK",
            "middle_name": "DEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott McCauley, DPT, ECS
• Erin Alyse McCausland, SLP
• Timothy Lee McCavit, MD
• John Byron McClain Sr., M.D.
• Bethany McClean, RN, CFNP
• Mary Margaret McClelen, DNP, FNP-C
• Jennifer E McCliment, AUD
• Nichole McCloy, RN, IBCLC
• Charles Forrer Anderson McCluer III, D.D.S.
• Cooper Lowe McClung I, LPC

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.