Michael Lynn Derchak

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5018352 Issued in NC

Practice address

Mission Hospital St. Joseph'S Campus
428 Biltmore Ave
Asheville, NC 28801

Phone

(828) 213-1111

NPI assigned

May 10, 2023

Sex

Female

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 NC

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mission Health Community Multispecialty Providers LLCGroup PAC ID 9537468574, 601 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.39 of 100Reported as apm

Quality

77.7

Promoting interoperability

100

Improvement activities

40

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 and National Provider Directory roles.

• Mission Health Community Multispecialty Providers, LLC

  • Anesthesiology Physician
  • Asheville, NC
  • NPI 1457719130
  Medicare reassignment Care Compare group NPD
• Charles a Cannon Jr Memorial Hospital Inc

  • Psychiatric Hospital Unit
  • Linville, NC
  • NPI 1407006968
  Medicare reassignment NPD
• Watauga Medical Center, Inc.

  • Psychiatry Physician
  • Boone, NC
  • NPI 1407921802
  Medicare reassignment NPD
• Charles a. Cannon, Jr. Memorial Hospital, Inc

  • Psychiatry Physician
  • Linville, NC
  • NPI 1518906700
  NPD
• Watauga Medical Center Inc

  • Land Ambulance
  • Boone, NC
  • NPI 1255120184
  NPD

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1922798396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FLORENCE ST APT 110",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288010160",
            "telephone_number": "505-603-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MISSION HOSPITAL ST. JOSEPH'S CAMPUS",
            "address_2": "428 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28801",
            "telephone_number": "828-213-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERCHAK",
        "first_name": "MICHAEL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5018352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory L Denton, D.D.S.
• Charles J Depaolo, M.D.
• Department of Veterans Affairs
• Derek H Dephouse, M.D.
• Kiersten Smith Derby, M.D., M.P.H.
• Vladimir Deresciuc, DMD
• Dermatology Associates of Asheville PA
• Dermatology of North Asheville
• Alisha Desai
• Benjamin William Deschner, MD

• Psychiatric/Mental Health Nurse Practitioner in Asheville, NC
• Providers in Asheville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.